Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures | ||||
| International Journal of Medical Arts | ||||
| Article 5, Volume 5, Issue 8, August 2023, Page 3507-3516 PDF (1012.85 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2023.181427.1575 | ||||
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| Authors | ||||
Essam Mohamed Ahmed Elbaz  1; Samir Ahmed El-Shoura1; Mustafa Abd El-Samie Rabea2; Mahmoud Mohamed El Said1
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| 1Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| 2Department of Neurosurgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| Abstract | ||||
| Background: Percutaneous pedicle screw fixation [PPSF], where screws are inserted through small holes in the skin, has become a popular approach for treating thoracolumbar and lumbar fractures. It has been shown to produce satisfactory outcomes. Aim of the work: The aim was to examine the procedure and assess the practicality, safety and results of using PPSF to treat thoracolumbar fractures. Patients and Methods: A prospective cohort study included 20 patients with thoracic or lumbar spine fracture, without neurological deficit, whom were operated upon by percutaneous screw fixation, and were assessed clinically [for improvement and development of complications] and radiologically [for healing and correction of deformity] by follow up over 6 months after surgery. Results: All cases achieved full radiological union by 3 months. The mean union time in our cohort was 2.1±0.5 months. Postoperatively, a statistically significant improvement in the vertebral kyphotic angle to a mean value of 4.7 ± 2.3 was observed [Bonferroni post-hoc test, P = 0.001]. The correction was maintained till last follow-up. Two patients [10%] developed incomplete paraplegia [Frankel grade D]. Misplacement of the pedicle screws was recorded in 6 of 90 screws in six patients. Conclusion: The PPSF is a valuable surgical procedure for patients with thoracic and lumbar vertebral fracture. | ||||
| Keywords | ||||
| Fracture Fixation; Lumbar Vertebrae; Pedicle Screws; Spinal Fractures; Thoracic Vertebrae | ||||
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