Thoracolumbar fracture reduction by percutaneous in situ contouring

Charles, Yann Philippe; Walter, Axel; Schuller, S.; Al-Dakheel, Dakheel A.; Steib, Jean-Paul

doi:10.1007/s00586-012-2306-z

Cited by 24 publications

(13 citation statements)

References 26 publications

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“…7,9 Moreover, minimally invasive and percutaneous indirect reduction and fixation methods were reported. 10,11 Surgical treatment of burst fractures also includes laminectomy; however, laminectomy may cause instability. 12 Additionally, fusion methods may result in adjacent level diseases such as spinal nerve damage.…”

Section: Discussionmentioning

confidence: 99%

Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Kocanli¹,

Kömür

Duymuş

et al. 2016

Journal of Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Kocanli¹,

Kömür

Duymuş

et al. 2016

Journal of Orthopaedics

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“…When treated operatively management includes isolated anterior fusion, posterior stabilization using an internal fixation device in open or minimal invasive technique or combined posterior stabilization and anterior fusion [4][5][6][7]. During recent years, percutaneous minimally invasive internal stabilization of thoracolumbar spinal fractures without neurological disabilities has been established [8][9][10][11][12][13]. Nevertheless, there is still a controversy whether minimally invasive stabilization is superior to open posterior instrumentation.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous versus open posterior stabilization in AOSpine type A3 thoracolumbar fractures

Erichsen

Heyde²,

Josten³

et al. 2020

BMC Musculoskelet Disord

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Background: The purpose of this retrospective cohort study was to compare treatment strategies of two level-one trauma centers regarding clinical and radiological outcomes focusing on non-osteoporotic AOSpine type A3 fractures of the thoracolumbar spine at levels T11 to L2. Methods: Eighty-seven patients between 18 and 65 years of age that were treated operatively in either of two trauma centers were included. One treatment strategy includes open posterior stabilization whereas the other uses percutaneous posterior stabilization. Both included additional anterior fusion if necessary. Demographic data, McCormack classification, duration of surgery, hospital stay and further parameters were assessed. Owestry Disability Index (ODI), Visual Analog Scale (VAS) and SF-36 were measured for functional outcome. Bisegmental kyphosis angle, reduction loss and sagittal alignment parameters were assessed for radiological outcome. Follow up was at least 24 months. Results: There was no significant difference regarding our primary functional outcome parameter (ODI) between both groups. Regarding radiological outcome kyphosis angle at time of follow up did not show a significant difference. Reduction loss at time of follow up was moderate in both groups with a significantly lower rate in the percutaneously stabilized group. Surgery time was significantly shorter for posterior stabilization and anterior fusion in the percutaneous group. Time of hospital stay was equal for posterior stabilization but shorter for anterior fusion in the open stabilized group. Conclusion: Both treatment strategies are safe and effective showing only minor loss of reduction. Clinical relevant differences in functional and radiographic outcome between the two surgical groups could not be demonstrated. Trial registration: It was conducted according to ICMJE guidelines and has been retrospectively registered with the German Clinical Trials Registry (identification number: DRKS00015693, 07.11.2018).

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“…There are a relevant number of patients after stand-alone treatment with vertebral augmentation who graded their outcome as insufficient (Macnab III or IV) and there is a significant and relevant postoperative loss of correction. An increasing number of authors attribute an important clinical role to the long-term restoration of sagittal alignment of the spine after the management of traumatic thoracolumbar fractures [ 24 – 27 ], although there are other authors who neither support nor refute this view [ 28 ] and others who do not share this opinion [ 29 ]. Against this background, surgeons should avoid surgical procedures that are likely associated with poor medium-term and long-term radiological results and that do not provide significant advantages compared to nonoperative treatment.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Vertebral Augmentation with Polyethylene Mesh and Allograft Bone for Traumatic Thoracolumbar Fractures

Schulz

Kunz

Mauer

et al. 2015

Advances in Orthopedics

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Purpose. In cases of traumatic thoracolumbar fractures, percutaneous vertebral augmentation can be used in addition to posterior stabilisation. The use of an augmentation technique with a bone-filled polyethylene mesh as a stand-alone treatment for traumatic vertebral fractures has not yet been investigated. Methods. In this retrospective study, 17 patients with acute type A3.1 fractures of the thoracic or lumbar spine underwent stand-alone augmentation with mesh and allograft bone and were followed up for one year using pain scales and sagittal endplate angles. Results. From before surgery to 12 months after surgery, pain and physical function improved significantly, as indicated by an improvement in the median VAS score and in the median pain and work scale scores. From before to immediately after surgery, all patients showed a significant improvement in mean mono- and bisegmental kyphoses. During the one-year period, there was a significant loss of correction. Conclusions. Based on this data a stand-alone approach with vertebral augmentation with polyethylene mesh and allograft bone is not a suitable therapy option for incomplete burst fractures for a young patient collective.

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Thoracolumbar fracture reduction by percutaneous in situ contouring

Cited by 24 publications

References 26 publications

Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Percutaneous versus open posterior stabilization in AOSpine type A3 thoracolumbar fractures

Percutaneous Vertebral Augmentation with Polyethylene Mesh and Allograft Bone for Traumatic Thoracolumbar Fractures

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