Temporary Percutaneous Pedicle Screw Fixation for Treatment of Thoracolumbar Injuries in Young Adults

Jb, Cox; Yang, Ming; Rp, Jacob; Dw, Pincus

doi:10.1055/s-0032-1330123

Cited by 16 publications

(3 citation statements)

References 22 publications

(30 reference statements)

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“…The initial PubMed, Cochrane Review, and EMBASE search resulted in 44 articles. 5 7 11 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 After two-reviewer assessments, 26 articles were eliminated after abstract review. 18 19 20 21 22 25 27 28 29 30 32 34 37 38 39 41 42 44 45 46 47 51 52 53 ...…”

Section: Resultsmentioning

confidence: 99%

Open versus Minimally Invasive Fixation Techniques for Thoracolumbar Trauma: A Meta-Analysis

McAnany

Overley

Kim

et al. 2015

Global Spine Journal

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Study Design Systematic literature review and meta-analysis of studies published in English. Objective This study evaluated differences in outcome variables between percutaneous and open pedicle screws for traumatic thoracolumbar fractures. Methods A systematic review of PubMed, Cochrane, and Embase was performed. The variables of interest included postoperative visual analog scale (VAS) pain score, kyphosis angle, and vertebral body height, as well as intraoperative blood loss and operative time. The results were pooled by calculating the effect size based on the standardized difference in means. The studies were weighted by the inverse of the variance, which included both within- and between-study error. Confidence intervals were reported at 95%. Heterogeneity was assessed using the Q statistic and I 2. Results After two-reviewer assessment, 38 studies were eliminated. Six studies were found to meet inclusion criteria and were included in the meta-analysis. The combined effect size was found to be in favor of percutaneous fixation for blood loss and operative time (p < 0.05); however, there were no differences in vertebral body height (VBH), kyphosis angle, or VAS scores between open and percutaneous fixation. All of the studies demonstrated relative homogeneity, with I 2 < 25. Conclusions Patients with thoracolumbar fractures can be effectively managed with percutaneous or open pedicle screw placement. There are no differences in VBH, kyphosis angle, or VAS between the two groups. Blood loss and operative time were decreased in the percutaneous group, which may represent a potential benefit, particularly in the polytraumatized patient. All variables in this study demonstrated near-perfect homogeneity, and the effect is likely close to the true effect.

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Section: Resultsmentioning

confidence: 99%

Open versus Minimally Invasive Fixation Techniques for Thoracolumbar Trauma: A Meta-Analysis

McAnany

Overley

Kim

et al. 2015

Global Spine Journal

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“…Lumbar TB is associated with abscess formation, the presence of the neurologic deficit, persistent or local kyphosis, and segmental instability [ 10 ]. Generally, the surgical treatment for spinal TB offer relief of severe pain and improved sagittal balance, which completely relieves the lesion, relieves spinal cord compression, rectifies the kyphosis, and reconstructs spinal stability [ 11 ]. Many methods for spinal TB have been reported, such as the anterior approach and staged or simultaneous anterior decompression combined with posterior stabilization [ 16 – 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, more segments are needed for posterior spinal fixation than for anterior fixation, which may impact the normal vertebral body. There is controversy over how to balance the use of these approaches in lumbar TB surgeries [ 11 – 13 ]. The objective of our study was to evaluate the efficiency and clinical outcomes of mini-open anterior approach focal cleaning combined with posterior internal fixation compared to conventional anterior extraperitoneal approach focal cleaning combined with posterior internal fixation.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Lumbar Tuberculosis by Mini-Open Anterior Approach Focal Cleaning Combined with Posterior Internal Fixation

et al. 2017

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BackgroundThe aim of this study was to evaluate the efficiency and clinical outcomes of mini-open anterior approach focal cleaning combined with posterior internal fixation compared to conventional anterior extraperitoneal approach focal cleaning combined with posterior internal fixation in the treatment of lumbar tuberculosis (TB).Material/MethodsMedical records from 124 patients were collected from February 2010 to April 2015; patients were divided into two groups: group A (mini-open anterior approach focal cleaning combined with posterior internal fixation) and group B (conventional anterior extraperitoneal approach focal cleaning combined with posterior internal fixation in period I). The data on postoperative mechanical ventilation time, preoperative, postoperative, and last follow-up Cobb angle, visual analog scale (VAS), erythrocyte sedimentation rate (ESR), and Frankel classification were collected and analyzed. Operative complications, internal stability, and bone graft fusion were also observed.ResultsAll patients were followed-up for 12 to 36 months (average 22.5 months). Seven cases (five in group A and two in group B) had side psoas abscess and were cured after secondary drainage surgery. The rest of the cases were all cured after primary surgery, with no formation of sinus, incisional hernia, cerebrospinal fluid leakage, or recurrence of spinal TB, with no TB symptoms. Bone graft fusion ranged from 3 to 8 months (average 4.7 months). Compared to group B, group A, which had less time on postoperative mechanical ventilation, had a higher VAS score. Both groups had distinct improvements in Cobb angle, ESR, and Frankel classification after surgery.ConclusionsTreating lumbar TB by mini-open anterior approach focal cleaning combined with posterior internal fixation was safe and effective.

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Management of Pediatric and Adolescent Thoracolumbar Burst Fractures

Ramírez¹,

Hansen²,

Eberson³

2017

Pediatric Orthopedic Trauma Case Atlas

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Temporary Percutaneous Pedicle Screw Fixation for Treatment of Thoracolumbar Injuries in Young Adults

Abstract: Temporary internal bracing of bone-only thoracolumbar fractures in young adults is a safe and effective treatment strategy in selected patients. This procedure provides rapid pain control and early mobilization without sacrificing any spinal motion segments.

Cited by 16 publications

References 22 publications

Open versus Minimally Invasive Fixation Techniques for Thoracolumbar Trauma: A Meta-Analysis

Open versus Minimally Invasive Fixation Techniques for Thoracolumbar Trauma: A Meta-Analysis

Treatment of Lumbar Tuberculosis by Mini-Open Anterior Approach Focal Cleaning Combined with Posterior Internal Fixation

Management of Pediatric and Adolescent Thoracolumbar Burst Fractures

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