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Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures
- Source :
- International Journal of Medical Arts, Vol 5, Iss 8, Pp 3507-3516 (2023)
- Publication Year :
- 2023
- Publisher :
- Al-Azhar University, Faculty of Medicine (Damietta), 2023.
-
Abstract
- Background: Percutaneous pedicle screw fixation [PPSF], where screws are inserted through small holes in the skin, has become a popular approach for treating thoracolumbar and lumbar fractures. It has been shown to produce satisfactory outcomes.Aim of the work: The aim was to examine the procedure and assess the practicality, safety and results of using PPSF to treat thoracolumbar fractures.Patients and Methods: A prospective cohort study included 20 patients with thoracic or lumbar spine fracture, without neurological deficit, whom were operated upon by percutaneous screw fixation, and were assessed clinically [for improvement and development of complications] and radiologically [for healing and correction of deformity] by follow up over 6 months after surgery.Results: All cases achieved full radiological union by 3 months. The mean union time in our cohort was 2.1±0.5 months. Postoperatively, a statistically significant improvement in the vertebral kyphotic angle to a mean value of 4.7 ± 2.3 was observed [Bonferroni post-hoc test, P = 0.001]. The correction was maintained till last follow-up. Two patients [10%] developed incomplete paraplegia [Frankel grade D]. Misplacement of the pedicle screws was recorded in 6 of 90 screws in six patients.Conclusion: The PPSF is a valuable surgical procedure for patients with thoracic and lumbar vertebral fracture.
Details
- Language :
- English
- ISSN :
- 26364174 and 26823780
- Volume :
- 5
- Issue :
- 8
- Database :
- Directory of Open Access Journals
- Journal :
- International Journal of Medical Arts
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.4cba02e2e4567853058cae03fce61
- Document Type :
- article
- Full Text :
- https://doi.org/10.21608/ijma.2023.181427.1575