Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit
ObjectiveThe aim of this study was to compare the efficacy and safety of a novel percutaneous pedicle screw fixation and vertebral reconstruction (PPSR) vs. that of open pedicle screw fixation (OPSF) in the treatment of thoracolumbar fractures.MethodsThis retrospective study enrolled 153 patients wh...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1039054/full |
| _version_ | 1797960055582097408 |
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| author | Lining Rui Fudong Li Cao Chen Yuan E Yuchen Wang Yanhong Yuan Yunfeng Li Jian Lu Shengchang Huang |
| author_facet | Lining Rui Fudong Li Cao Chen Yuan E Yuchen Wang Yanhong Yuan Yunfeng Li Jian Lu Shengchang Huang |
| author_sort | Lining Rui |
| collection | DOAJ |
| description | ObjectiveThe aim of this study was to compare the efficacy and safety of a novel percutaneous pedicle screw fixation and vertebral reconstruction (PPSR) vs. that of open pedicle screw fixation (OPSF) in the treatment of thoracolumbar fractures.MethodsThis retrospective study enrolled 153 patients who underwent PPSR and 176 patients who received OPSF. Periprocedural characteristics, radiographic parameters, and clinical outcomes were compared between the two groups.ResultsThe operation duration was 93.843 ± 20.611 in PPSR group and 109.432 ± 11.903 in OPSF group; blood loss was 131.118 ± 23.673 in PPSR group and 442.163 ± 149.701 in OPSF group, incision length was 7.280 ± 1.289 in PPSR group and 14.527 ± 2.893 in OPSF group, postoperative stay was 8.732 ± 1.864 in PPSR group and 15.102 ± 2.117 in OPSF group, and total hospitalization costs were 59027.196 ± 8687.447 in PPSR group and 73144.432 ± 11747.567 in OPSF group. These results indicated that these parameters were significantly lower in PPSR compared with those in OPSF group. No significant difference was observed in the incidence of complications between the two groups. The radiographic parameters including height of the anterior vertebra, Cobb angle, and vertebral wedge angle were better in PPSR group than in OPSF group. Recovery rate of AVH was 0.449 ± 0.079 in PPSR group and 0.279 ± 0.088 in OPSF group. Analysis of clinical results revealed that during postoperative period, the VAS and ODI scores in PPSR group were lower than those in OPSF group.ConclusionsCollectively, these results indicated that PPSR more effectively restored the height of anterior vertebra and alleviated local kyphosis compared with OPSF. Moreover, the VAS and ODI scores in PPSR group were better than those of OPSF group. |
| first_indexed | 2024-04-11T00:39:58Z |
| format | Article |
| id | doaj.art-265b47c3ede644609e43f109a4064629 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:39:58Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-265b47c3ede644609e43f109a40646292023-01-06T07:34:11ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10390541039054Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficitLining Rui0Fudong Li1Cao Chen2Yuan E3Yuchen Wang4Yanhong Yuan5Yunfeng Li6Jian Lu7Shengchang Huang8Department of Spinal Surgery, WujinHospital of Traditional Chinese Medicine, Changzhou, ChinaDepartment of Orthopaedic Surgery, Spine Center, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, ChinaDepartment of Clinical Medicine, Nanjing Medical University, Nanjing, ChinaDepartment of Spinal Surgery, WujinHospital of Traditional Chinese Medicine, Changzhou, ChinaDepartment of Sports Medicine, Wujin Hospital of Traditional Chinese Medicine, Changzhou, ChinaDepartment of Spinal Surgery, WujinHospital of Traditional Chinese Medicine, Changzhou, ChinaDepartment of Spinal Surgery, WujinHospital of Traditional Chinese Medicine, Changzhou, ChinaDepartment of Spinal Surgery, WujinHospital of Traditional Chinese Medicine, Changzhou, ChinaDepartment of Spinal Surgery, WujinHospital of Traditional Chinese Medicine, Changzhou, ChinaObjectiveThe aim of this study was to compare the efficacy and safety of a novel percutaneous pedicle screw fixation and vertebral reconstruction (PPSR) vs. that of open pedicle screw fixation (OPSF) in the treatment of thoracolumbar fractures.MethodsThis retrospective study enrolled 153 patients who underwent PPSR and 176 patients who received OPSF. Periprocedural characteristics, radiographic parameters, and clinical outcomes were compared between the two groups.ResultsThe operation duration was 93.843 ± 20.611 in PPSR group and 109.432 ± 11.903 in OPSF group; blood loss was 131.118 ± 23.673 in PPSR group and 442.163 ± 149.701 in OPSF group, incision length was 7.280 ± 1.289 in PPSR group and 14.527 ± 2.893 in OPSF group, postoperative stay was 8.732 ± 1.864 in PPSR group and 15.102 ± 2.117 in OPSF group, and total hospitalization costs were 59027.196 ± 8687.447 in PPSR group and 73144.432 ± 11747.567 in OPSF group. These results indicated that these parameters were significantly lower in PPSR compared with those in OPSF group. No significant difference was observed in the incidence of complications between the two groups. The radiographic parameters including height of the anterior vertebra, Cobb angle, and vertebral wedge angle were better in PPSR group than in OPSF group. Recovery rate of AVH was 0.449 ± 0.079 in PPSR group and 0.279 ± 0.088 in OPSF group. Analysis of clinical results revealed that during postoperative period, the VAS and ODI scores in PPSR group were lower than those in OPSF group.ConclusionsCollectively, these results indicated that PPSR more effectively restored the height of anterior vertebra and alleviated local kyphosis compared with OPSF. Moreover, the VAS and ODI scores in PPSR group were better than those of OPSF group.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1039054/fullthoracolumbar fracturepercutaneous pedicle screw fixation and vertebral reconstructionanterior vertebral heightopen pedicle screw fixationvertebral reconstruction |
| spellingShingle | Lining Rui Fudong Li Cao Chen Yuan E Yuchen Wang Yanhong Yuan Yunfeng Li Jian Lu Shengchang Huang Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit Frontiers in Surgery thoracolumbar fracture percutaneous pedicle screw fixation and vertebral reconstruction anterior vertebral height open pedicle screw fixation vertebral reconstruction |
| title | Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit |
| title_full | Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit |
| title_fullStr | Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit |
| title_full_unstemmed | Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit |
| title_short | Efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single-level thoracolumbar fracture without neurologic deficit |
| title_sort | efficacy of a novel percutaneous pedicle screw fixation and vertebral reconstruction versus the traditional open pedicle screw fixation in the treatment of single level thoracolumbar fracture without neurologic deficit |
| topic | thoracolumbar fracture percutaneous pedicle screw fixation and vertebral reconstruction anterior vertebral height open pedicle screw fixation vertebral reconstruction |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1039054/full |
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