Transpedicular Grafting After Short-Segment Pedicle Instrumentation for Thoracolumbar Burst Fracture

Liao, Jen‐Chung; Fan, Kuo-Fon; Keorochana, Gun; Chen, Wen-Jer; Chen, Lih-Hui

doi:10.1097/brs.0b013e3181c176f8

Cited by 39 publications

(35 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These range from modifications of the system of fixation with the addition of a cross-connector or an extra screw at the fracture site, to procedures aimed at reducing the bone loss in the anterior column by transpedicular augmentation of the fractured vertebra, or kyphoplasty. Opinion about the role of transpedicular augmentation of the fractured vertebra remains divided: Alanay et al 20 reported no benefit, whereas Liao et al 24,25 reported an improved outcome. Augmenting the anterior column by introducing cement has been shown to be of value in preventing collapse of the fractured vertebrae.…”

Section: Discussionmentioning

confidence: 99%

The role of fusion in the management of burst fractures of the thoracolumbar spine treated by short segment pedicle screw fixation

Jindal

Sankhala

Bachhal

2012

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

The purpose of this study was to determine whether patients with a burst fracture of the thoracolumbar spine treated by short segment pedicle screw fixation fared better clinically and radiologically if the affected segment was fused at the same time. A total of 50 patients were enrolled in a prospective study and assigned to one of two groups. After the exclusion of three patients, there were 23 patients in the fusion group and 24 in the non-fusion group. Follow-up was at a mean of 23.9 months (18 to 30). Functional outcome was evaluated using the Greenough Low Back Outcome Score. Neurological function was graded using the American Spinal Injury Association Impairment Scale. Radiological outcome was assessed on the basis of the angle of kyphosis. Peri-operative blood transfusion requirements and duration of surgery were significantly higher in the fusion group (p = 0.029 and p < 0.001, respectively). There were no clinical or radiological differences in outcome between the groups (all outcomes p > 0.05). The results of this study suggest that adjunctive fusion is unnecessary when managing patients with a burst fracture of the thoracolumbar spine with short segment pedicle screw fixation.

show abstract

Section: Discussionmentioning

confidence: 99%

The role of fusion in the management of burst fractures of the thoracolumbar spine treated by short segment pedicle screw fixation

Jindal

Sankhala

Bachhal

2012

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…Guidelines based on the level 1 studies of when and how the anterior column should be additionally reconstructed surgically do not exist up to date [10,19,21,36,[53][54][55][56]59]. 360°fusions are considered to be necessary in cases with ''unstable'' burst fractures and more severe bony destruction [5, 11, 25, 26, 28, 31-33, 45, 47, 53, 58].…”

Section: Introductionmentioning

confidence: 99%

Mid-term results of PLIF/TLIF in trauma

et al. 2010

View full text Add to dashboard Cite

Treatment of thoracolumbar fractures is still controversial. Several treatment options are reported to yield satisfactory results. There is no evidence indicating superiority of any treatment option. We have already presented radiological results of the use of PLIF/TLIF in trauma, which showed satisfactory results concerning intervertebral fusion and acceptable loss of correction. We examined 50 patients regarding loss of correction after implant removal and clinical outcome using a validated visual analogue score. The average time of follow-up (FU) was 35 months. We observed a total loss of correction of 4°. The pre-injury mean VAS score was 92. At FU, there was an average reduction of 17.2 points. Owing to the presented results, we suggest this method as an alternative to combined procedures.

show abstract

“…Successful outcomes have been documented with the usage of polymethylmethacrylate (PMMA), hydroxyapatite (HA) and calcium sulphate (CS) 5 . Despite good early results, PMMA, HA and CS can never replace autogenous cancellous bone graft in their ability to provide the best bone healing.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the recent encouraging results 1,2 , there are -doubts about the efficacy of the transpedicular bone grafting techniques which have led to failures in maintaining the reduction and complications of internal fixation 3,4 . However, the usage of bone graft substitutes which are radio-opaque to augment the anterior column have been reported to be successful 5 . Therefore, we postulate that the previous failures in transpedicular bone grafting may be due to the lack of clear visualization of bone grafts inserted.…”

Section: Introductionmentioning

confidence: 99%

Transpedicular Bone Grafting - using Contrast Impregnated Bone:ACaseReport

Chiu¹,

Chan²,

Kwan³

2014

MOJ

View full text Add to dashboard Cite

A method of transpedicular bone grafting using contrast impregnated bone to improve the visualization of bone graft on the image intensifier is reported. A -36-year old man who had sustained traumatic burst fracture of T12 vertebra, with Load-Sharing Classification (LSC) score of 8, was treated with posterior short segment fusion from T11 to L1 with transpedicular bone graft of T12 vertebra. We were able to correct the kyphotic end plate angle (EPA) from 19º to 1.4º. Anterior bone graft augmentation was achieved with contrast enhaced transpedicular bone grafts. At six months follow up, CT scan showed good bony integration of the anterior column with EPA of 4.5º and two years later, radiographs showed EPA of 7.6 º.

show abstract

Transpedicular Grafting After Short-Segment Pedicle Instrumentation for Thoracolumbar Burst Fracture

Cited by 39 publications

References 35 publications

The role of fusion in the management of burst fractures of the thoracolumbar spine treated by short segment pedicle screw fixation

The role of fusion in the management of burst fractures of the thoracolumbar spine treated by short segment pedicle screw fixation

Mid-term results of PLIF/TLIF in trauma

Transpedicular Bone Grafting - using Contrast Impregnated Bone:ACaseReport

Contact Info

Product

Resources

About