Fusion-less short posterior segmental fixation in thoracolumbar fractures | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 54, Issue 3, July 2019, Pages 257-260 PDF (1.11 M) | ||
| DOI: 10.4103/eoj.eoj_40_19 | ||
| Authors | ||
| Hany El Zahlawy; Abdelrady M. Abdelrady; Mohamed A.A. Kersh; Shereen I. Fawaz | ||
| Abstract | ||
| Background The purpose of this study was to evaluate the effectiveness of short posterior fixation without fusion in treatment of thoracolumbar fractures. Patients and methods In a prospective study, 64 consecutive patients with types A3.2 and A3.3 thoracolumbar fractures were operated by pedicle screws fixation a level above and below the fracture without fusion followed by physiotherapy. Results The mean follow-up period was 18 months. The mean preoperative local kyphosis was 18.7°, and anterior vertebral height loss 51.63%. These significantly improved to 4.58° and 15.67% 1 month after fixation. Three months after implant removal, these radiologic parameters were 5.37° and 16.23%, whereas mean segmental motion was 9.58°. On Denis scale for back pain, 42 patients were P1, with no need for analgesics; 14 patients were P2 with minimal pain; and four were P3, needing occasional use of analgesics. Conclusion Satisfactory results can be achieved by posterior spinal fixation without fusion of thoracolumbar burst fractures (A3.2 and A3.3). | ||
| Keywords | ||
| posterior spinal fixation; thoracolumbar fractures; without fusion | ||
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