Detail publikace

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

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

Originální název

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

Typ

článek v časopise ve Web of Science, Jimp

Jazyk

angličtina

Originální abstrakt

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.

Klíčová slova

Percutaneous, Thoracolumbar, Spine, Trauma

Autoři

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

Vydáno

1. 2. 2020

Nakladatel

Springer-Verlag GmbH Germany, part of Springer Nature 2018

ISSN

1863-9933

Periodikum

EUR J TRAUMA EMERG S

Ročník

1

Číslo

1

Stát

Spolková republika Německo

Strany od

147

Strany do

152

Strany počet

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"
}