Ostéosynthèse percutanée des fractures lombaires et thoracolombaires non neurologiques : technique chirurgicale et résultats préliminaires

Non-operative vs. percutaneous stabilization in Magerl’s A1 or A2 thoracolumbar spine fracture in adults: is it really advantageous for a good alignment of the spine? Preliminary data from a prospective study

“…The Percutaneous osteosynthesis of spine is technically feasible, but requires considerable experience [8]. Functional and subjective results have been good, and the loss of correction at last follow-up has been comparable to what observed with conventional open surgery [8]. This technique is an intermediary method between orthopedic treatment and conventional surgery [8].…”

“…In 2008, Pelegri et al [8] reported spinal Percutaneous stabilization of the lumbar and thoracolumbar spine fractures without neurological deficit. The Percutaneous osteosynthesis of spine is technically feasible, but requires considerable experience [8].…”

“…In 2008, Pelegri et al [8] reported spinal Percutaneous stabilization of the lumbar and thoracolumbar spine fractures without neurological deficit. The Percutaneous osteosynthesis of spine is technically feasible, but requires considerable experience [8]. Functional and subjective results have been good, and the loss of correction at last follow-up has been comparable to what observed with conventional open surgery [8].…”

Less Invasive Surgery is Feasible in the Management of Traumatic Thoracolumbar Fractures in Isolated and Polytrauma Injury

“…Several studies have described the multiple advantages of posterior pedicle screw fixation techniques in thoracolumbar fractures. [1][2][3][4][5][6][7][8][9] Open surgical techniques are associated with significant morbidity due to high blood loss and infection rates. Blood loss rates of 1000 mL for open posterior, anterior, or anterior-posterior procedures can be reduced to 50 mL in less invasive spine surgery.…”

“…The high infection rate of 10% in open surgery is reduced to 0-1%. [4][5][6][7][8][9] In contrast to open techniques, percutaneous fixation induces minimal paraspinal muscle injury and shows a positive correlation with postoperative back muscle performance. 10 With the knowledge that, on average, 36% of polytrauma patients have associated spine injuries, less invasive approaches would be favorable in limiting the risks for the already vulnerable patient.…”