Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216305%3A26210%2F18%3APU128785" target="_blank" >RIV/00216305:26210/18:PU128785 - isvavai.cz</a>

Result on the web

<a href="https://link.springer.com/epdf/10.1007/s00068-018-0998-4?author_access_token=eF38wb_z4RiZOggRhlmRPfe4RwlQNchNByi7wbcMAY6DLBmCA_umMpGvQ9twEU0iKa6QhuW74yICAhFpxoz5mw2LfRnGVDILU-RxVKZEN7ZrZ0HMwt70vM2lcGAsT0CWRu7hQnfYnrYp-xeeH0qIEw%3D%3D" target="_blank" >https://link.springer.com/epdf/10.1007/s00068-018-0998-4?author_access_token=eF38wb_z4RiZOggRhlmRPfe4RwlQNchNByi7wbcMAY6DLBmCA_umMpGvQ9twEU0iKa6QhuW74yICAhFpxoz5mw2LfRnGVDILU-RxVKZEN7ZrZ0HMwt70vM2lcGAsT0CWRu7hQnfYnrYp-xeeH0qIEw%3D%3D</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00068-018-0998-4" target="_blank" >10.1007/s00068-018-0998-4</a>

Result language

angličtina

Original language name

Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures

Original language description

Background The purpose of this study was to evaluate the effectiveness between percutaneous and open pedicle screw fixation without fusion for treating type A3 and A4 thoracolumbar fractures. Traumatic thoracolumbar burst fracture is a common pathology without a consensus on the best treatment approach. Percutaneous pedicle screw fixation (PPSF) systems have been recently introduced in the treatment of spinal fractures to reduce the adverse effects associated with the conventional open approaches, such as iatrogenic muscle denervation and pain. Methods A prospective analysis was made to evaluate consecutive 46 patients with type A3 and A4 thoracolumbar fractures. Patients were divided into a percutaneous pedicle screw fixation group (PPSF) and an open pedicle screw fixation group (OPSF). The mean age of patients in PPSF group (12 men, 11 woman) was 49.9 years and in OPSF group (10 men, 13 women) 52.2 years. For the purpose of evaluation, the radiological assessment of the bisegmental Cobb angle, the loss of correction, the volume of blood loss, operation time, cumulative radiation time and dose were recorded and compared. Results All patients were followed up for 12 months. There were no significant differences between OPSF and PPSF in the Cobb angle preoperative and postoperative angle and the loss of bisegmental correction. In PPSF group, the mean preoperative Cobb angle was 10.9° and improved by 4.5° postoperatively, and in OPSF group the preoperative angle was 12.1° and postoperatively improved by 3.8°. Significant differences between OPSF and PPSF were found in the mean cumulative radiation time, radiation dose and operation time. PPSF group also had a significantly lower perioperative blood loss. Conclusions Both open and percutaneous short-segment pedicle fixation were safe and effective methods to treat thoracolumbar burst fractures. Percutaneous fixation without fusion seems to be suitable for type A3 and A4 fractures.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30211 - Orthopaedics

Project

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Continuities

S - Specificky vyzkum na vysokych skolach

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

EUR J TRAUMA EMERG S

ISSN

1863-9933

e-ISSN

1863-9941

Volume of the periodical

1

Issue of the periodical within the volume

1

Country of publishing house

DE - GERMANY

Number of pages

6

Pages from-to

1-6

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85052719091