The pedicle instrumentation and percutaneous elevation (Pi.Pe): a new cementless surgical technique in type A post-traumatic vertebral fractures

Autor: Gaetano Monteleone, Biagio Moretti, Davide Bizzoca, Andrea Piazzolla, Claudia Parato, Giuseppe Solarino, Franca Dicuonzo
Rok vydání: 2018
Předmět:
Zdroj: European Spine Journal. 27:182-189
ISSN: 1432-0932
0940-6719
DOI: 10.1007/s00586-018-5602-4
Popis: To investigate if bone substitutes are strictly necessary to restore the vertebral body height and improve the clinical outcome, in patients with thoracolumbar or lumbar AO type A post-traumatic vertebral fractures, managed with balloon kyphoplasty combined with posterior screw and rod system. 105 patients with post-traumatic thoracolumbar spine fracture were recruited. At baseline, the patients underwent a CT and an MRI of the spine. Clinical evaluation was performed, using the Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI), at baseline, 48 h after surgery, at 3-month follow-up (FU), 6-month FU, 48 h after the instrumentation removal and at 24-month FU. At each FU, VK, regional kyphosis (RK), central wall (MH/PH) and anterior wall (AH/PH) heights were assessed on lateral spine X-rays. At 6-month FU, a CT scan of the spine was performed to investigate the fracture healing. The posterior instrumentation was removed 7 months after surgery (range 6–10 months). A significant reduction of mean VAS (p
Databáze: OpenAIRE
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