Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.

Background Data: Management of thoracolumbar fractures remains controversial. Little has been published in the literature about the use of percutaneous pedicle screws in the management of thoracic and lumbar spine fractures. Purpose: To assess the efficacy and safety of percutaneous pedicle screw f...

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Autor principal:	Hossam Taha
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	minimally invasive Fracture; Spine Percutaneous Thoracolumbar pedicle screws Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f3ef41e27345464695cf5334219fd5f0
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spelling	oai:doaj.org-article:f3ef41e27345464695cf5334219fd5f02021-12-02T06:49:18ZPercutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.DOI:10.21608/ESJ.2012.38012314-89502314-8969https://doaj.org/article/f3ef41e27345464695cf5334219fd5f02012-10-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3801.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Management of thoracolumbar fractures remains controversial. Little has been published in the literature about the use of percutaneous pedicle screws in the management of thoracic and lumbar spine fractures. Purpose: To assess the efficacy and safety of percutaneous pedicle screw fixation in the management of thoracic and lumbar spine fractures and to report the clinical and radiological results. Study Design: A prospective cohort of thoracic and lumbar spine fractures treated by percutaneous fixation. Patients and Methods: Seventy eight patients with thoracic and lumbar spine fractures, 60% males and 40% females, with mean age of 31.5 years, without neurologic deficit, were treated by percutaneous transpedicular fixation and ligamentotaxis. Followup ranged from 6 to 40 months (mean 21 months) with clinical and radiographic evaluation. Results: Mean hospital stay for isolated spine fractures was 3 days. 63% required no oral analgesia upon discharge. Mean VAS for back pain at latest follow up was 1.6. All patients returned to some sort of employment. Improvement in local kyphosis radiological measurement was achieved. Conclusion: Percutaneous pedicle screw fixation is a safe and effective method for the management of selected cases of thoracic and lumbar spine fractures. All benefits of minimally invasive surgery are met in this technique. Limitations are fractures with gross instability where fusion is needed, and patients with a neurological deficit where a formal decompression is mandatory. (2012ESJ032) Hossam TahaEgyptian Spine Associationarticleminimally invasiveFracture; SpinePercutaneousThoracolumbarpedicle screwsNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 4, Iss 1, Pp 34-40 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	minimally invasive Fracture; Spine Percutaneous Thoracolumbar pedicle screws Neurology. Diseases of the nervous system RC346-429
spellingShingle	minimally invasive Fracture; Spine Percutaneous Thoracolumbar pedicle screws Neurology. Diseases of the nervous system RC346-429 Hossam Taha Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.
description	Background Data: Management of thoracolumbar fractures remains controversial. Little has been published in the literature about the use of percutaneous pedicle screws in the management of thoracic and lumbar spine fractures. Purpose: To assess the efficacy and safety of percutaneous pedicle screw fixation in the management of thoracic and lumbar spine fractures and to report the clinical and radiological results. Study Design: A prospective cohort of thoracic and lumbar spine fractures treated by percutaneous fixation. Patients and Methods: Seventy eight patients with thoracic and lumbar spine fractures, 60% males and 40% females, with mean age of 31.5 years, without neurologic deficit, were treated by percutaneous transpedicular fixation and ligamentotaxis. Followup ranged from 6 to 40 months (mean 21 months) with clinical and radiographic evaluation. Results: Mean hospital stay for isolated spine fractures was 3 days. 63% required no oral analgesia upon discharge. Mean VAS for back pain at latest follow up was 1.6. All patients returned to some sort of employment. Improvement in local kyphosis radiological measurement was achieved. Conclusion: Percutaneous pedicle screw fixation is a safe and effective method for the management of selected cases of thoracic and lumbar spine fractures. All benefits of minimally invasive surgery are met in this technique. Limitations are fractures with gross instability where fusion is needed, and patients with a neurological deficit where a formal decompression is mandatory. (2012ESJ032)
format	article
author	Hossam Taha
author_facet	Hossam Taha
author_sort	Hossam Taha
title	Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.
title_short	Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.
title_full	Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.
title_fullStr	Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.
title_full_unstemmed	Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.
title_sort	percutaneous stabilization of thoracic and lumbar spine fractures. clinical and radiological outcome.
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/f3ef41e27345464695cf5334219fd5f0
work_keys_str_mv	AT hossamtaha percutaneousstabilizationofthoracicandlumbarspinefracturesclinicalandradiologicaloutcome
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Percutaneous Stabilization of Thoracic and Lumbar Spine Fractures. Clinical and Radiological Outcome.

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