A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study
Abstract Objectives The purpose of this study was to evaluate and compare the feasibility, safety, and efficacy of conventional open pedicle screw fixation (COPSF), percutaneous pedicle screw fixation (PPSF), and paraspinal posterior open approach pedicle screw fixation (POPSF) for treating neurolog...
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-021-02459-6 |
| _version_ | 1828136762483933184 |
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| author | Chao Zhu Bin Wang Jian Yin Xin Hui Liu |
| author_facet | Chao Zhu Bin Wang Jian Yin Xin Hui Liu |
| author_sort | Chao Zhu |
| collection | DOAJ |
| description | Abstract Objectives The purpose of this study was to evaluate and compare the feasibility, safety, and efficacy of conventional open pedicle screw fixation (COPSF), percutaneous pedicle screw fixation (PPSF), and paraspinal posterior open approach pedicle screw fixation (POPSF) for treating neurologically intact thoracolumbar fractures. Methods We retrospectively reviewed 108 patients who were posteriorly stabilized without graft fusion. Among them, 36 patients underwent COPSF, 38 patients underwent PPSF, and 34 patients underwent POPSF. The clinical outcomes, relative operation indexes, and radiological findings were assessed and compared among the 3 groups. Results All of the patients were followed up for a mean time of 20 months. The PPSF group and POPSF group had shorter operation times, lower amounts of intraoperative blood loss, and shorter postoperative hospital stays than the COPSF group (P < 0.05). The radiation times and hospitalization costs were highest in the PPSF group (P < 0.05). Every group exhibited significant improvements in the Cobb angle (CA) and the vertebral body angle (VBA) correction (all P < 0.05). The COPSF group and the POPSF group had better improvements than the PPSF group at 3 days postoperation and the POPSF group had the best improvements in the last follow-up (P < 0.05). Conclusion Both PPSF and POPSF achieved similar effects as COPSF while also resulting in lower incidences of injury. PPSF is more advantageous in the early rehabilitation time period, compared with COPSF, but POPSF is a better option when considering the long-term effects, the costs of treatment, and the radiation times. |
| first_indexed | 2024-04-11T18:09:26Z |
| format | Article |
| id | doaj.art-27096a9f08af4fd19ddafb9567c2b130 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T18:09:26Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-27096a9f08af4fd19ddafb9567c2b1302022-12-22T04:10:11ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-05-011611810.1186/s13018-021-02459-6A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective studyChao Zhu0Bin Wang1Jian Yin2Xin Hui Liu3Department of Orthopedics, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Orthopedics, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Orthopedics, The Affiliated Jiangning Hospital with Nanjing Medical UniversityDepartment of Orthopedics, The Affiliated Jiangning Hospital with Nanjing Medical UniversityAbstract Objectives The purpose of this study was to evaluate and compare the feasibility, safety, and efficacy of conventional open pedicle screw fixation (COPSF), percutaneous pedicle screw fixation (PPSF), and paraspinal posterior open approach pedicle screw fixation (POPSF) for treating neurologically intact thoracolumbar fractures. Methods We retrospectively reviewed 108 patients who were posteriorly stabilized without graft fusion. Among them, 36 patients underwent COPSF, 38 patients underwent PPSF, and 34 patients underwent POPSF. The clinical outcomes, relative operation indexes, and radiological findings were assessed and compared among the 3 groups. Results All of the patients were followed up for a mean time of 20 months. The PPSF group and POPSF group had shorter operation times, lower amounts of intraoperative blood loss, and shorter postoperative hospital stays than the COPSF group (P < 0.05). The radiation times and hospitalization costs were highest in the PPSF group (P < 0.05). Every group exhibited significant improvements in the Cobb angle (CA) and the vertebral body angle (VBA) correction (all P < 0.05). The COPSF group and the POPSF group had better improvements than the PPSF group at 3 days postoperation and the POPSF group had the best improvements in the last follow-up (P < 0.05). Conclusion Both PPSF and POPSF achieved similar effects as COPSF while also resulting in lower incidences of injury. PPSF is more advantageous in the early rehabilitation time period, compared with COPSF, but POPSF is a better option when considering the long-term effects, the costs of treatment, and the radiation times.https://doi.org/10.1186/s13018-021-02459-6Pedicle screw fixationOpenPercutaneousParaspinalThoracolumbar fracture |
| spellingShingle | Chao Zhu Bin Wang Jian Yin Xin Hui Liu A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study Journal of Orthopaedic Surgery and Research Pedicle screw fixation Open Percutaneous Paraspinal Thoracolumbar fracture |
| title | A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study |
| title_full | A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study |
| title_fullStr | A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study |
| title_full_unstemmed | A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study |
| title_short | A comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures: a retrospective study |
| title_sort | comparison of three different surgery approaches and methods for neurologically intact thoracolumbar fractures a retrospective study |
| topic | Pedicle screw fixation Open Percutaneous Paraspinal Thoracolumbar fracture |
| url | https://doi.org/10.1186/s13018-021-02459-6 |
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