Minimally invasive fixation techniques for thoracolumbar fractures: comparison between percutaneous pedicle screw with intermediate screw (PPSIS) and percutaneous pedicle screw with kyphoplasty (PPSK)
| Autor: | Enrica Lombardi, Gaetano Caruso, Leo Massari, Vincenzo Lorusso, Mattia Andreotti, Sara Padovani, Alessandro Gildone |
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| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Percutaneous Kyphosis Thoracic Vertebrae NO 03 medical and health sciences Fixation (surgical) Fracture Fixation Internal 0302 clinical medicine Lumbar Pedicle Screws Percutaneous screws Spinal fracture medicine Humans Minimally Invasive Surgical Procedures Orthopedics and Sports Medicine Kyphoplasty Vertebral kyphosis Pedicle screw Thoracolumbar fractures Aged Retrospective Studies Minimally invasive fixation 030222 orthopedics Lumbar Vertebrae business.industry Intermediate screw Segmental kyphosis Surgery Middle Aged medicine.disease medicine.anatomical_structure Treatment Outcome Thoracic vertebrae Spinal Fractures Female business 030217 neurology & neurosurgery |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 28(5) |
| ISSN: | 1432-1068 |
| Popis: | To assess and compare the efficacy of two minimally invasive techniques (percutaneous pedicle screw with intermediate screw vs. percutaneous pedicle screw with kyphoplasty) for spinal fracture fixation by comparing the segmental kyphosis and vertebral kyphosis angles after trauma before surgery, after surgery, and at 4-month and 12-month follow-up. Data from 49 patients without neurological deficit treated by either percutaneous pedicle screw with intermediate screw or percutaneous pedicle screw with kyphoplasty were retrospectively analysed. The segmental kyphosis and vertebral kyphosis angles over time were calculated and correlated with the type of procedure, AO classification, lumbar or thoracic site and the age and sex of the patients. After surgery, both techniques were found to be efficacious means of bringing about a significant correction of the segmental kyphosis angle (p = 0.002) and a just significant correction of the vertebral kyphosis angle (p = 0.06), although less effectively in thoracic fractures (p = 0.004). At follow-up, the vertebral kyphosis angle was stable in both groups, while there was a significant loss of segmental kyphosis angle stability in the percutaneous pedicle screw with kyphoplasty group at 1 year (p = 0.004); fractured thoracic vertebrae maintained a greater vertebral kyphosis angle (p = 0.06) and segmental kyphosis angle (p |
| Databáze: | OpenAIRE |
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