Publication detail

Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures

KOČIŠ, J. KELBL, M. KOČIŠ, T. NÁVRAT, T.

Original Title

Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures

Type

journal article in Web of Science

Language

English

Original Abstract

Background The purpose of this study was to evaluate the effectiveness between percutaneous and open pedicle screw fixation without fusion for treating type A3 and A4 thoracolumbar fractures. Traumatic thoracolumbar burst fracture is a common pathology without a consensus on the best treatment approach. Percutaneous pedicle screw fixation (PPSF) systems have been recently introduced in the treatment of spinal fractures to reduce the adverse effects associated with the conventional open approaches, such as iatrogenic muscle denervation and pain. Methods A prospective analysis was made to evaluate consecutive 46 patients with type A3 and A4 thoracolumbar fractures. Patients were divided into a percutaneous pedicle screw fixation group (PPSF) and an open pedicle screw fixation group (OPSF). The mean age of patients in PPSF group (12 men, 11 woman) was 49.9 years and in OPSF group (10 men, 13 women) 52.2 years. For the purpose of evaluation, the radiological assessment of the bisegmental Cobb angle, the loss of correction, the volume of blood loss, operation time, cumulative radiation time and dose were recorded and compared. Results All patients were followed up for 12 months. There were no significant differences between OPSF and PPSF in the Cobb angle preoperative and postoperative angle and the loss of bisegmental correction. In PPSF group, the mean preoperative Cobb angle was 10.9° and improved by 4.5° postoperatively, and in OPSF group the preoperative angle was 12.1° and postoperatively improved by 3.8°. Significant differences between OPSF and PPSF were found in the mean cumulative radiation time, radiation dose and operation time. PPSF group also had a significantly lower perioperative blood loss. Conclusions Both open and percutaneous short-segment pedicle fixation were safe and effective methods to treat thoracolumbar burst fractures. Percutaneous fixation without fusion seems to be suitable for type A3 and A4 fractures.

Keywords

Percutaneous, Thoracolumbar, Spine, Trauma

Authors

KOČIŠ, J.; KELBL, M.; KOČIŠ, T.; NÁVRAT, T.

Released

1. 2. 2020

Publisher

Springer-Verlag GmbH Germany, part of Springer Nature 2018

ISBN

1863-9933

Periodical

EUR J TRAUMA EMERG S

Year of study

1

Number

1

State

Federal Republic of Germany

Pages from

147

Pages to

152

Pages count

6

URL

https://link.springer.com/epdf/10.1007/s00068-018-0998-4?author_access_token=eF38wb_z4RiZOggRhlmRPfe4RwlQNchNByi7wbcMAY6DLBmCA_umMpGvQ9twEU0iKa6QhuW74yICAhFpxoz5mw2LfRnGVDILU-RxVKZEN7ZrZ0HMwt70vM2lcGAsT0CWRu7hQnfYnrYp-xeeH0qIEw%3D%3D

BibTex

@article{BUT149459,
  author="Ján {Kočiš} and Martin {Kelbl} and Tomáš {Kočiš} and Tomáš {Návrat}",
  title="Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures",
  journal="EUR J TRAUMA EMERG S",
  year="2020",
  volume="1",
  number="1",
  pages="147--152",
  doi="10.1007/s00068-018-0998-4",
  issn="1863-9933",
  url="https://link.springer.com/epdf/10.1007/s00068-018-0998-4?author_access_token=eF38wb_z4RiZOggRhlmRPfe4RwlQNchNByi7wbcMAY6DLBmCA_umMpGvQ9twEU0iKa6QhuW74yICAhFpxoz5mw2LfRnGVDILU-RxVKZEN7ZrZ0HMwt70vM2lcGAsT0CWRu7hQnfYnrYp-xeeH0qIEw%3D%3D"
}