RESULT OF THORACOLUMBAR SPINAL TRAUMA TREATMENT BY MINIMAL INVASIVE PEDICLE SCREW FIXATION
Main Article Content
Abstract
Objectives: To evaluate result of thoracolumbar spinal treatment by minimal invasive perdicle screw fixation. Methods: Cross- sectional descriptive study of 30 thoracolumbar spinal traumatic case underwent minimal invasive pedicle screw fixation in Bach Mai hospital from 3/2021 to 3/2022. Result: The male/ female ratio is 2/1 with mean age of 36,8 (17- 58 years old), main mechanism is fall from above (70%). All of the patients don’t have neuro deficit, five cases were accompanied by other organ trauma. Main morphology is burst fracture (80%), L1 is the most impacted vertebral (56,7%). The time of operation is 42,8 minutes, the volume of lossing blood in operation is 66,5 ml. All of cases were fixed three levels and none of them has complicated, time of lying on the bed and time of hospital staying are respectively 3,2 and 5,4 days. 100% of cases have improving in VAS scores, cobb angle, wedge angle and anterior vertebral height. Conclusion: Minimal invasive pedicle screw fixation is a safe efficiency method to treat thoracolumar spinal trauma.
Article Details
Keywords
thorocalumbar spinal trauma, minimal invasive pedicle screw fixation.
References
2. Kim B-G, Dan J-M, Shin D-E. Treatment of thoracolumbar fracture. Asian Spine J. 2015;9(1):133-146. doi: 10.4184/asj.2015.9.1.133.
3. Tian F, Tu L-Y, Gu W-F, et al. Percutaneous versus open pedicle screw instrumentation in treatment of thoracic and lumbar spine fractures: A systematic review and meta-analysis. Medicine (Baltimore). 2018;97(41):e12535-e12535. doi: 10.1097/MD.0000000000012535.
4. Zhang W, Li H, Zhou Y, et al. Minimally Invasive Posterior Decompression Combined With Percutaneous Pedicle Screw Fixation for the Treatment of Thoracolumbar Fractures With Neurological Deficits: A Prospective Randomized Study: Versus: Traditional Open Posterior Surgery. Spine. 2016;41. https://journals.lww.com/spinejournal/Fulltext/2016/10011/Minimally_Invasive_Posterior_Decompression.5.aspx.
5. Wood KB, Li W, Lebl DR, Ploumis A. Management of thoracolumbar spine fractures. The spine journal : official journal of the North American Spine Society. Jan 2014;14(1):145-164. doi: 10.1016/j.spinee.2012.10.041.
6. Walker CT, Xu DS, Godzik J, Turner JD, Uribe JS, Smith WD. Minimally invasive surgery for thoracolumbar spinal trauma. Ann Transl Med. 2018;6(6):102-102. doi: 10.21037/atm.2018.02.10.
7. Gu Y-T, Zhu D-H, Liu H-F, Zhang F, McGuire R. Minimally invasive pedicle screw fixation combined with percutaneous vertebroplasty for preventing secondary fracture after vertebroplasty. J Orthop Surg Res. 2015/03/07 2015;10(1):31. doi: 10.1186/s13018-015-0172-1.
8. Yang WE, Ng ZX, Koh KM, et al. Percutaneous pedicle screw fixation for thoracolumbar burst fracture: a Singapore experience. Singapore medical journal. Sep 2012;53(9):577-581.