Posterior short segment pedicle screw fixation for the treatment of thoracolumbar fracture

Aoui, Mourad; Sahnoun, Nizar; Abid, M.; Maatoug, Mahdi; Hsairi, Majdi; Hentati, Yosr; Keskes, Hassib

doi:10.11604/pamj.2020.35.102.21540

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Denis et al 1983 defined the burst fracture in his 3-column theory as a compression fracture of the anterior and middle vertebral columns, which causes retropulsion of a posterior vertebral body fragment into the spinal canal [3]. It is the most common spinal fractures have been reported to be in the thoracolumbar region because it is in the transition zone between the rigid thoracic kyphosis and more flexible lumbar lordosis [4].…”

Section: Introductionmentioning

confidence: 99%

Short segment versus long segment pedicle screws fixation in management of thoracolumbar burst fractures

El-Khadarway¹,

Ragab²,

Mostafa³

2022

ijhs

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Background: Selection of stabilization procedures for treating thoracolumbar burst fractures remains controversial. Both long-segment and short-segment pedicle screw fixation have been used widely with no consensus on the better method. Aim of study: To compare the outcome of long segment and short segment posterior fixation as amanagement of thoracolumbar burst fractures. Patients and Methods: 60 patients fulfilling the inclusion criteria who underwent posterior pedicle screw fixation for burst fracture of thoracolumbar spine in Neurosurgery Department of Al-Azhar University Hospitals and El-Ahrar General Hospital, Zagazig between August 2019 and Febrauray 2022. Patients were randomized into one of two groups. Short segment group (30 patients) was treated by short segment fixation, i.e., 1 level above and 1 level below the fractured vertebra. Long segment group (30 patients) was treated by long segment pedicle screw fixation, i.e., fixation of 2 levels above and below the fractured vertebra. Assessment of kyphosis correction by using the Cobb method and restoration of the anterior vertebral body height was performed radiologically postoperatively and at 3 and 6 months follow up. Results: Demographic data of both groups were quite comparable. thoracolumbar burst fracture

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Section: Introductionmentioning

confidence: 99%

Short segment versus long segment pedicle screws fixation in management of thoracolumbar burst fractures

El-Khadarway¹,

Ragab²,

Mostafa³

2022

ijhs

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“…Significant blunt trauma such as motor vehicle accidents or falling from a height are the main reasons for TF, which range from non‐complex to highly complex resulting in different prognoses depending on the severity of injury. Recent studies showed that the number of motor vehicles in China would increase up to nearly 360 mn in the first half of 2020 3 . Moreover, the construction industry is constantly developing because of the rapidly growing economic and social development, which indirectly result in high incidence of TF because of falling accidents 4 .…”

Section: Introductionmentioning

confidence: 99%

The Clinical Effect of Manual Reduction Combined with Internal Fixation Through Wiltse Paraspinal Approach in the Treatment of Thoracolumbar Fracture

et al. 2021

Orthopaedic Surgery

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Objective: To evaluate the clinical outcome of manual reduction combined with pedicle fixation through Wiltse paraspinal approach (WPA) in the treatment of thoracolumbar fractures.Methods: From May 2017 to May 2019, 48 thoracolumbar fractures patients without neurological symptoms were enrolled in this study. Forty-eight patients were randomly divided into two groups based on the different surgical treatment. Group 1 was manual reduction combined with pedicle screw fixation through Wiltse paraspinal approach treatment group. Group 2 was pedicle screw fixation through traditional posterior approach treatment group. The operation time (OT), intraoperative blood loss (BL), postoperative drainage (PD), time of brace (TB) and the cobb angle recovery of the injured kyphosis in the prone position were obtained and compared between the two groups, respectively. Comparison of cobb angle changes, serum creatine kinase (CK) level, pain visual analogue score (VAS), Oswestry disability index (ODI), and multifidus cross-sectional (MCS) area changes were achieved between the two groups, respectively.Results: Forty-eight patients were enrolled in this study and each group had 24 patients. There was no significant difference between the two groups in patient's age, height, weight, and body mass index (BMI). There were 20 males and four females in group 1. The mean age, height, weight, and BMI of patients were 61.

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“…Для восстановления угла кифотической деформации используют сегментарные базовые значения, которые основаны на моделях, полученных Stagnara et al [16]. Предлагаемые авторами расчеты углов исправления деформации являются приблизительными, если учитывать индивидуальное многообразие анатомии позвоночника в зависимости от типов осанки по Rossoully [17]. Принятие клинических решений при травме грудного и поясничного отделов позвоночника основывается на следующих параметрах рентгенографических измерений: угле Cobb, угле сегментарной деформации Гарднера, проценте сжатия передней части тела позвонка [18].…”

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Retrospective analysis of restoration of the anatomy of the damaged thoracic and lumbar spinal motion segment using transpedicular repositioning device

Усиков¹,

Kuftov²,

Monashenko

2022

Hir. pozvonoč.

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Objective. To carry out a retrospective analysis of the restoration of the anterior and posterior vertebral body heights and the elimination of deformation of the anterior spinal canal wall caused by thoracic and lumbar spine injury, based on the data of spiral computed tomography (SCT).Material and Methods. The study analyzed SCT data and case histories of 50 patients with thoracolumbar spinal cord injury operated on at different times after injury: up to 10 days – Group 1 and 11–30 days – Group 2. All patients underwent spinal reposition using a transpedicular device. The preoperative and postoperative SCT parameters were compared with the initial ones, which were calculated. The restoration of vertebral body heights and the elimination of deformation of the anterior spinal canal wall were compared in two groups depending on the distraction of interbody spaces and changes in the angle of segmental deformity.Results. In Group 1, the anterior and posterior dimensions of the vertebral body were restored, on average, by 95.3 ± 1.9 and 96.9 ± 1.4 % of the initial height; in Group 2 – by 87.4 ± 4.2 and 96.6 ± 1.8 %, respectively. The maximum restoration of the anterior dimensions of the vertebral bodies was achieved with distraction of the anterior interbody spaces closer to 100 % of the original size in the first and second groups. The maximum recovery of the posterior dimensions of the vertebral bodies was obtained by distraction of the posterior interbody spaces by 97 % or more of the original dimensions. The maximum elimination of the displacement of bone fragments from the spinal canal was obtained by distraction of the interbody spaces to a distance close to 100 % of the initial one, and when the obtained angle of segmental deformity coincided with the initial one.Conclusion. In the first 10 days after the injury, a greater percentage of the restoration of the anterior and posterior vertebral body heights and a decrease in the deformation of the anterior wall of the spinal canal were obtained. It was possible to maximally eliminate the deformation of the anterior wall of the spinal canal and restore the height of the anterior and posterior walls of the damaged vertebra by approaching the obtained dimensions of interbody spaces and the angle of segmental deformity to the initial ones.

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Posterior short segment pedicle screw fixation for the treatment of thoracolumbar fracture

Cited by 3 publications

References 23 publications

Short segment versus long segment pedicle screws fixation in management of thoracolumbar burst fractures

Short segment versus long segment pedicle screws fixation in management of thoracolumbar burst fractures

The Clinical Effect of Manual Reduction Combined with Internal Fixation Through Wiltse Paraspinal Approach in the Treatment of Thoracolumbar Fracture

Retrospective analysis of restoration of the anatomy of the damaged thoracic and lumbar spinal motion segment using transpedicular repositioning device

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