Stand-alone percutaneous stent-kyphoplasty for thoracolumbar split and burst-split fractures
نویسندگان
چکیده
Traditionally, thoracolumbar split and burst-split fractures are treated with combined antero-posterior bi-segmental fusion procedures. Especially in the lower lumbar spine, such interventions invasive associated increased risk of neurological vascular complications. This retrospective study aims to determine whether percutaneous stent-kyphoplasty is a viable treatment option for these injuries terms kyphotic angle correction patient safety. From Nov. 2014 Dec. 2017, 25 consecutive patients (9 female, mean age 58 years) 8 17 (T11 L5) different etiology (7 high vs. 18 low energy trauma) were (SpineJack®). CT and/or MR imaging was performed preoperatively all while radiographs obtained postoperatively at each follow-up. The follow-up 176 days (SD 130). All cases evaluated retrospectively complications regarding nervous damage, LOS, duration opioid intake, pain-VAS, return work time change radiographic angle. did not from 1.1° 9.2°) 7.9°) postoperatively. Radiologically, increase between surgery last 2.65° 4.2°). pain-VAS reduced 1.8 2.5, p = 0.03). intake 4 days. SpineJack®-kyphoplasty appears be safe expeditious, minimally or fractures. It may considered as an alternative anterior-posterior instrumented its surgical morbidity.
منابع مشابه
Thoracolumbar and Lumbar Burst Fractures
Approximately 79,000 spinal fractures occur annually in the United States. Roughly three out of every four fractures involve either the thoracic or the lumbar spine1,2. The most common site of injury in the thoracic and lumbar spine is the thoracolumbar junction, the mechanical transition zone between the relatively rigid thoracic spine and the more flexible lumbar region3-5. The thoracolumbar ...
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ژورنال
عنوان ژورنال: Interdisciplinary Neurosurgery
سال: 2022
ISSN: ['2214-7519']
DOI: https://doi.org/10.1016/j.inat.2022.101539