Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool

Objective This study was performed to assess the efficacy of a novel tool to assist transpedicular bone grafting in short-segment pedicle screw fixation combined with pedicle fixation at the level of the fractured vertebra (six-screw fixation). Methods We retrospectively analyzed 80 patients (40 in...

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Main Authors: Yuetao Wen, Hui Zhou, Youxin Liao, Ya He, Fei Wang, Jingang Li
Format: Article
Language:English
Published: SAGE Publishing 2022-02-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221081290
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author Yuetao Wen
Hui Zhou
Youxin Liao
Ya He
Fei Wang
Jingang Li
author_facet Yuetao Wen
Hui Zhou
Youxin Liao
Ya He
Fei Wang
Jingang Li
author_sort Yuetao Wen
collection DOAJ
description Objective This study was performed to assess the efficacy of a novel tool to assist transpedicular bone grafting in short-segment pedicle screw fixation combined with pedicle fixation at the level of the fractured vertebra (six-screw fixation). Methods We retrospectively analyzed 80 patients (40 in the control group and 40 in the tool-aided group) with single-level thoracolumbar fractures. Patients in the control group underwent traditional six-screw fixation combined with transpedicular bone grafting. In the tool-aided group, we introduced a novel vertebroplasty tool to assist transpedicular bone grafting. Basic information and related indicators were recorded. Results There were no significant differences in the patients’ baseline characteristics or surgical outcomes between the control group and tool-aided group. Both traditional surgery and tool-aided surgery restored the height of the fractured vertebrae and decreased the Cobb angle, visual analog scale score, and Oswestry Disability Index. However, tool-aided surgery more effectively restored the height of the fractured vertebrae and reduced the visual analog scale score and Oswestry Disability Index than did traditional surgery. Conclusion Vertebroplasty tool-aided surgery facilitated more precise and successful grafting of bone into damaged vertebrae than did traditional surgery and therefore might be recommended for treating single-level thoracolumbar fractures.
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spelling doaj.art-248dc14a0e574fe493a60bb3b8a1897b2022-12-21T21:17:27ZengSAGE PublishingJournal of International Medical Research1473-23002022-02-015010.1177/03000605221081290Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty toolYuetao WenHui ZhouYouxin LiaoYa HeFei WangJingang LiObjective This study was performed to assess the efficacy of a novel tool to assist transpedicular bone grafting in short-segment pedicle screw fixation combined with pedicle fixation at the level of the fractured vertebra (six-screw fixation). Methods We retrospectively analyzed 80 patients (40 in the control group and 40 in the tool-aided group) with single-level thoracolumbar fractures. Patients in the control group underwent traditional six-screw fixation combined with transpedicular bone grafting. In the tool-aided group, we introduced a novel vertebroplasty tool to assist transpedicular bone grafting. Basic information and related indicators were recorded. Results There were no significant differences in the patients’ baseline characteristics or surgical outcomes between the control group and tool-aided group. Both traditional surgery and tool-aided surgery restored the height of the fractured vertebrae and decreased the Cobb angle, visual analog scale score, and Oswestry Disability Index. However, tool-aided surgery more effectively restored the height of the fractured vertebrae and reduced the visual analog scale score and Oswestry Disability Index than did traditional surgery. Conclusion Vertebroplasty tool-aided surgery facilitated more precise and successful grafting of bone into damaged vertebrae than did traditional surgery and therefore might be recommended for treating single-level thoracolumbar fractures.https://doi.org/10.1177/03000605221081290
spellingShingle Yuetao Wen
Hui Zhou
Youxin Liao
Ya He
Fei Wang
Jingang Li
Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool
Journal of International Medical Research
title Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool
title_full Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool
title_fullStr Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool
title_full_unstemmed Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool
title_short Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool
title_sort posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single level thoracolumbar fractures with the aid of a vertebroplasty tool
url https://doi.org/10.1177/03000605221081290
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