Flexion-distraction injuries of the thoracolumbar spine: open fusion versus percutaneous pedicle screw fixation

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Minimally Invasive Mini Open Split-Muscular Percutaneous Pedicle Screw Fixation of the Thoracolumbar Spine

We prospectively assessed the feasibility and safety of a new percutaneous pedicle screw (PPS) fixation technique for instrumentation of the thoracic and lumbar spine in this study. All patients were operated in the prone position under general anesthesia. A 6 to 8 cm midline skin incision was made and wide subcutaneous dissection was performed. The paravertebral muscles were first dissected su...

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A retrospective study comparing percutaneous and open pedicle screw fixation for thoracolumbar fractures with spinal injuries

BACKGROUND The purpose of this study was to evaluate the effectiveness between percutaneous and open pedicle screw fixation for treating thoracolumbar fractures with spinal injuries. METHODS A total of 105 patients with thoracolumbar fractures and spinal injuries were divided into a percutaneous pedicle screw fixation (PPSF) group with 56 patients, who underwent percutaneous pedicle screw fix...

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Flexion-distraction injuries of the cervical spine.

A 29 year old woman during a non-professional, recreational, wrestling episode sustained a fall on her neck. She immediately experienced severe neck pain and felt weakness in her upper limbs. Her neurological examination in the emergency department, showed grade 3/5 motor strength in deltoid, biceps, brachioradialis, wrist and finger extensors bilaterally. The sensations were bilaterally decrea...

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A Comparison of the Mini-Open Wiltse Approach with Pedicle Screw Fixation and the Percutaneous Pedicle Screw Fixation for Neurologically Intact Thoracolumbar Fractures

BACKGROUND The thoracolumbar AO type A3 fracture is an incomplete burst fracture, which affects one vertebral body endplate. The objective of this study was to determine which of two minimal invasive techniques was more suitable for A3 fractures based on clinical and radiographic results. MATERIAL AND METHODS We studied 112 patients with A3 subtype fractures without neurological deficits. A tot...

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Pedicle screw fixation in the spine.

In August 1993, in the USA, an FDA advisory committee of experts reviewed the scientific data on pedicle screws and decided that not enough was known about the shortterm problems or the long-term safety and effectiveness of these devices to allow their use to be approved. Manufacturers were therefore forbidden to promote the use of screws in the spine, and patients were warned that pedicle scre...

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ژورنال

عنوان ژورنال: Neurosurgical Focus

سال: 2013

ISSN: 1092-0684

DOI: 10.3171/2013.6.focus13176