Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures

Background Data: Percutaneous transpedicular fixation systems have become more frequently used as it allows the surgeon to achieve same goals as standard open surgery but in a less invasive manner by insertion of pedicle screws and pre-contoured rods through a stab incision and elimination of the n...

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Autor principal:	Abdelaal Abdelbaky
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Percutaneous fixation minimally invasive surgery thoracolumbar fractures Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/e297469b8a0b4870a2908f31bb9bfa18
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spelling	oai:doaj.org-article:e297469b8a0b4870a2908f31bb9bfa182021-12-02T05:59:14ZMinimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar FracturesDOI:10.21608/ESJ.2017.39832314-89502314-8969https://doaj.org/article/e297469b8a0b4870a2908f31bb9bfa182016-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3983.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Percutaneous transpedicular fixation systems have become more frequently used as it allows the surgeon to achieve same goals as standard open surgery but in a less invasive manner by insertion of pedicle screws and pre-contoured rods through a stab incision and elimination of the need for excessive muscle dissection. Purpose: The aim of this study is to evaluate the outcome of percutaneous fixation of acute thoracolumbar fractures. Study Design: A retrospective study. Patients and Methods: Retrospective review of patients with acute thoracolumbar fractures without neurological deficit treated with percutaneous fixation from January 2011 to January 2015. Baseline data include patient’s demographics, operative data, mechanism of injury, fracture level and kyphotic angle. Pain was assessed using visual analogue scale and radiological outcome was assessed as the amount of kyphotic angle correction. Results: Seventeen patients with thoracolumbar fractures were included in this study, 14 patients were male and 3 were female. The mean age ofthe patients was 41 years. The mode of fracture was fall from height in 13 patients and motor car accident in 4 patients. The mean operative time was 110 minute. The average hospital stay was 3 days. The mean kyphotic angle improved from 24 degrees before surgery to 7 degrees after surgery. The mean VAS improved from 8.4 preoperatively to 1.8 postoperatively. Conclusion: Fluoroscopic guided percutaneous transpedicular screw fixation can provide a safe and effective treatment for acute thoracolumbar fractures with significant reduction in blood loss,postoperative pain and hospital stay. (2015ESJ103)Abdelaal AbdelbakyEgyptian Spine AssociationarticlePercutaneous fixationminimally invasive surgerythoracolumbar fracturesNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 17, Iss 1, Pp 34-41 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Percutaneous fixation minimally invasive surgery thoracolumbar fractures Neurology. Diseases of the nervous system RC346-429
spellingShingle	Percutaneous fixation minimally invasive surgery thoracolumbar fractures Neurology. Diseases of the nervous system RC346-429 Abdelaal Abdelbaky Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures
description	Background Data: Percutaneous transpedicular fixation systems have become more frequently used as it allows the surgeon to achieve same goals as standard open surgery but in a less invasive manner by insertion of pedicle screws and pre-contoured rods through a stab incision and elimination of the need for excessive muscle dissection. Purpose: The aim of this study is to evaluate the outcome of percutaneous fixation of acute thoracolumbar fractures. Study Design: A retrospective study. Patients and Methods: Retrospective review of patients with acute thoracolumbar fractures without neurological deficit treated with percutaneous fixation from January 2011 to January 2015. Baseline data include patient’s demographics, operative data, mechanism of injury, fracture level and kyphotic angle. Pain was assessed using visual analogue scale and radiological outcome was assessed as the amount of kyphotic angle correction. Results: Seventeen patients with thoracolumbar fractures were included in this study, 14 patients were male and 3 were female. The mean age ofthe patients was 41 years. The mode of fracture was fall from height in 13 patients and motor car accident in 4 patients. The mean operative time was 110 minute. The average hospital stay was 3 days. The mean kyphotic angle improved from 24 degrees before surgery to 7 degrees after surgery. The mean VAS improved from 8.4 preoperatively to 1.8 postoperatively. Conclusion: Fluoroscopic guided percutaneous transpedicular screw fixation can provide a safe and effective treatment for acute thoracolumbar fractures with significant reduction in blood loss,postoperative pain and hospital stay. (2015ESJ103)
format	article
author	Abdelaal Abdelbaky
author_facet	Abdelaal Abdelbaky
author_sort	Abdelaal Abdelbaky
title	Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures
title_short	Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures
title_full	Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures
title_fullStr	Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures
title_full_unstemmed	Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures
title_sort	minimally invasive percutaneous transpedicular screw fixation of acute thoracolumbar fractures
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/e297469b8a0b4870a2908f31bb9bfa18
work_keys_str_mv	AT abdelaalabdelbaky minimallyinvasivepercutaneoustranspedicularscrewfixationofacutethoracolumbarfractures
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Minimally Invasive Percutaneous Transpedicular Screw Fixation of Acute Thoracolumbar Fractures

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