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Outcomes of percutaneous pedicle screw fixation for spinal trauma and tumours.
- Source :
-
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2016 Jan; Vol. 23, pp. 88-94. Date of Electronic Publication: 2015 Sep 28. - Publication Year :
- 2016
-
Abstract
- We investigated the clinical and radiological results of percutaneous pedicle screw fixation in the management of spinal trauma and metastatic tumours. A retrospective analysis was performed on a series of 14 patients who were operated on from March 2009 to November 2011 by a single surgeon (RJM). Following a radiological review (CT scan/MRI), six patients underwent short segment fixation, while the remaining underwent long segment fixation. All patients had routine follow-ups at 4, 6, 12months, and annually thereafter. Clinical examinations were conducted preoperatively and postoperatively, and the length of operation, blood loss, and postoperative pain relief were recorded. There was a single patient with an incision site complication. The mean blood loss was 269mL. All of the parameters demonstrated no significant differences between the trauma and the tumour groups (p=0.10). The neurological power scores improved for all patients, with the largest increase being from a score of 2 to 4. At follow-up, the majority of patients had returned to their previous activities and had reduced pain scores. One patient suffered high pain levels from other medical conditions that were not related to the operation. Minimally invasive pedicle screw fixation is a suitable option for patients with spinal tumours and fractures, with acceptable safety and efficacy in this small retrospective patient series. We have seen favourable results in our patients, who have experienced an increased quality of life following their surgery.<br /> (Copyright © 2015 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Fracture Fixation, Internal instrumentation
Fracture Fixation, Internal methods
Humans
Lumbar Vertebrae diagnostic imaging
Lumbar Vertebrae injuries
Lumbar Vertebrae surgery
Male
Middle Aged
Quality of Life
Radiography
Retrospective Studies
Spinal Fusion instrumentation
Spinal Fusion methods
Spinal Fusion trends
Treatment Outcome
Young Adult
Fracture Fixation, Internal trends
Pedicle Screws trends
Spinal Cord Neoplasms diagnostic imaging
Spinal Cord Neoplasms surgery
Spinal Fractures diagnostic imaging
Spinal Fractures surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2653
- Volume :
- 23
- Database :
- MEDLINE
- Journal :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
- Publication Type :
- Academic Journal
- Accession number :
- 26422600
- Full Text :
- https://doi.org/10.1016/j.jocn.2015.05.046