The Outcome of Minimally Invasive Percutaneous Transpedicular Screw Fixation (TPSF) in Thoracolumbar Spine Fractures

Background & Objective: This study aimed to determine the outcome of percutaneous transpedicular screw fixation (TPSF) in patients with thoracolumbar fractures.
 Material Methods: A total 157 fractures were included from Department Neurosurgery, LGH, PINS, Lahore. Patients evaluated plain X-rays, CT, and MRI scans. Neurological status was documented preoperatively postoperatively. All treated Minimally Invasive Percutaneous Transpedicular fixation. Data for operative time per-operative blood loss obtained through notes. The severity postoperative pain length hospital stay also documented.
 Results: Out patients, 69.4% male 30.6% female. 141 (89.8%) traumatic road traffic accidents/falls, 16 (10.2%) pathologic. 128 (81%) discharged on first day, 23(15%) second 6(3.8%) third day. 79% had a single level spine fracture whereas, 20% 2 spinal levels. average MIS TPSF 55 minutes. Postoperative markedly reduced as compared traditional open surgery no patient any new neurological deficit. mean 25 ml none needed transfusion.
 Conclusion: instrumentation is an ideal surgical approach stabilization.
 Keywords: Thoracolumbar Fractures, Screw Fixation, Spine Surgery, Road Traffic Accidents (RTA).