OBJECTIVE Percutaneous pedicle screw fixation is commonly used for upper lumber burst fractures. The direct decompression remains challenging with this minimally invasive surgery. The objective was to evaluate a novel paraspinal erector approach for effective and direct decompression in patients with canal compromise and neurologic deficit. METHOD Patients (n = 21) with neurological deficienc...

External fixation combined with colostomy is a traditional management of the pelvic fractures associated with perineal lacerations. However, malunion and dysfunction caused by malreduction and loss of reduction are common. One-stage definitive fixation without soft tissue harassment is requisite for the treatment. The purpose of this study was to assess the outcome of 1-stage definitive fixatio...

OBJECTIVE Percutaneous pedicle screw fixation (PPSF) offers some of the advantages of minimally invasive surgery. However, an additional skin incision is necessary in order to gain these advantages. The author recently performed a modified PPSF through a single skin incision and it yielded good results. Here, we report the single incision percutaneous pedicle screw fixation (SIPPSF). METHODS ...

This study compares the functional capabilities of different metacarpal fixation constructs under physiological loadings in an attempt to identify the optimal construct rather than the strongest one. One hundred and twenty-six preserved human metacarpals were mechanically tested after oblique osteotomies and internal fixation. Maximum load to failure, average structural rigidity, and energ...

Unstable pelvic ring fractures raise treatment challenges in severely injured patients. Ilio-sacral screw fixation is an elegant option for stabilising the posterior lesion, which is a common source of residual pain. This technique provides secure fixation. The first description can be found in a 1913 treatise by Lambotte [1]. In 1978, Letournel reported the treatment of sacro-iliac joint dislo...

INTRODUCTION Traditional surgical management of lumbosacral spondylolisthesis is technically challenging and is associated with significant complications. The advent of minimally invasive surgical techniques offers patients treatment alternatives with lower operative morbidity risk. The combination of percutaneous pedicle screw reduction and an axial presacral approach for lumbosacral discectom...