RATIONALE Lumbar burst fractures are frequent injury resulting from high-energy trauma, and the patients suffer from pain and the neurologic dysfunction. Although minimally invasive techniques have advanced rapidly, it was the first time to apply transforaminal endoscopic combined with percutaneous pedicle screw fixation to treatment of lumbar burst fractures. PATIENT CONCERNS A 33-year-old m...

Unstable pelvic ring injuries require definite operative fixation. While the posterior ring can be fixed utilizing open approaches, percutaneous screw fixation has become the treatment of choice avoiding the complications of open approaches. As the pelvis is a complex three-dimensional (3D) shape with many neurovascular structures situated within it, a thorough knowledge and understanding of th...

BACKGROUND Unstable posterior ring injuries of the pelvis are a challenge to pelvic surgeons, and their treatment has been controversial. The functional outcomes of such injuries following either percutaneous iliosacral screw fixation or conservative treatment remain to be elucidated. METHODS We conducted a retrospective analysis of 32 consecutive patients with unstable pelvic ring injuries w...

BACKGROUND Floating pubic symphysis (FPS) is a relatively rare injury caused by high-energy mechanisms. There are several fixation methods used to treat FPS, including external fixation, subcutaneous fixation, internal fixation, and percutaneous cannulated screw fixation. To choose the appropriate fixation, it is necessary to study the biomechanical performance of these different methods. The g...

We randomly allocated 60 consecutive patients with fractures of the waist of the scaphoid to percutaneous fixation with a cannulated Acutrak screw or immobilisation in a cast. The range of movement, the grip and pinch strength, the modified Green/O'Brien functional score, return to work and sports, and radiological evidence of union were evaluated at each follow-up visit. Patients were followed...

INTRODUCTION SCFE occurs in 10 per 100,000 in some regions of the United States with the incidence continuing to increase. Percutaneous screw fixation is a well-accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature. CASE REPORT We describe a case where a traumatic unstable SCFE that was initially treated with closed red...

Injuries to the tarsometatarsal joint complex, also known as the Lisfranc joint, are relatively uncommon. However, the importance of an accurate diagnosis cannot be overstated. These injuries, especially when missed, may result in considerable long-term disability as the result of posttraumatic arthritis. A high level of suspicion, recognition of the clinical signs of injury, and appropriate ra...

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 ...

PURPOSE To analyze the effectiveness of anterior pelvic plating and subsequent percutaneous sacroiliac joint screw fixation in patients with unstable pelvic ring injuries. MATERIALS AND METHODS Thirty-two patients were included with twenty-one males and eleven females. The mean age was 41 years (range, 19-76). The mean follow-up period was 51 months (range, 36-73). According to AO-OTA classif...