PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY
ABSTRACT Objective: There is still no consensus as to the treatment options for thoracolumbar burst fractures, although these fractures are widely described in the literature. The aim of this study was to evaluate the clinical and radiological outcomes of percutaneous instrumentation without arthro...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
2022-01-01
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| Series: | Coluna/Columna |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400295&tlng=en |
| _version_ | 1818947523330441216 |
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| author | Pedro Henrique Cortat Proba Couri Leandro Duil Kim William Zarza Santos Rodrigo Góes Medéa de Mendonça Nelson Astur Alberto Ofenhejm Gotfryd Osmar Avanzi Maria Fernanda Silber Caffaro Robert Meves |
| author_facet | Pedro Henrique Cortat Proba Couri Leandro Duil Kim William Zarza Santos Rodrigo Góes Medéa de Mendonça Nelson Astur Alberto Ofenhejm Gotfryd Osmar Avanzi Maria Fernanda Silber Caffaro Robert Meves |
| author_sort | Pedro Henrique Cortat Proba Couri |
| collection | DOAJ |
| description | ABSTRACT Objective: There is still no consensus as to the treatment options for thoracolumbar burst fractures, although these fractures are widely described in the literature. The aim of this study was to evaluate the clinical and radiological outcomes of percutaneous instrumentation without arthrodesis as a method of fixation of these lesions. Methods: This retrospective, cross-sectional study evaluated 16 patients by measuring regional kyphosis using the Cobb method and the scores for quality of life and return to work (Oswestry Disability Index, VAS, SF-36 and Denis). Results: Six months after surgical treatment, 62.5% of all patients showed minimal disability according to the Oswestry Disability Index, maintenance of regional kyphosis correction and no synthesis failure. Conclusions: The clinical and radiological outcomes of the study suggest that minimally invasive fixation is indicated for the treatment of thoracolumbar burst fractures. Level of evidence IV; Observational study: retrospective cohort. |
| first_indexed | 2024-12-20T08:32:15Z |
| format | Article |
| id | doaj.art-2cb7925394db4be49012dfe81469a6a9 |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-12-20T08:32:15Z |
| publishDate | 2022-01-01 |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-2cb7925394db4be49012dfe81469a6a92022-12-21T19:46:40ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2022-01-0120429529910.1590/s1808-185120212004250462PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDYPedro Henrique Cortat Proba Courihttps://orcid.org/0000-0002-3955-1411Leandro Duil Kimhttps://orcid.org/0000-0003-1677-3924William Zarza Santoshttps://orcid.org/0000-0002-9100-4749Rodrigo Góes Medéa de Mendonçahttps://orcid.org/0000-0003-1486-5569Nelson Asturhttps://orcid.org/0000-0002-2608-2118Alberto Ofenhejm Gotfrydhttps://orcid.org/0000-0003-3143-2845Osmar Avanzihttps://orcid.org/0000-0003-2462-6422Maria Fernanda Silber Caffarohttps://orcid.org/0000-0002-2823-8534Robert Meveshttps://orcid.org/0000-0002-8695-3982ABSTRACT Objective: There is still no consensus as to the treatment options for thoracolumbar burst fractures, although these fractures are widely described in the literature. The aim of this study was to evaluate the clinical and radiological outcomes of percutaneous instrumentation without arthrodesis as a method of fixation of these lesions. Methods: This retrospective, cross-sectional study evaluated 16 patients by measuring regional kyphosis using the Cobb method and the scores for quality of life and return to work (Oswestry Disability Index, VAS, SF-36 and Denis). Results: Six months after surgical treatment, 62.5% of all patients showed minimal disability according to the Oswestry Disability Index, maintenance of regional kyphosis correction and no synthesis failure. Conclusions: The clinical and radiological outcomes of the study suggest that minimally invasive fixation is indicated for the treatment of thoracolumbar burst fractures. Level of evidence IV; Observational study: retrospective cohort.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400295&tlng=enSpineSpinal FracturesSpinal InjuriesFracture Fixation |
| spellingShingle | Pedro Henrique Cortat Proba Couri Leandro Duil Kim William Zarza Santos Rodrigo Góes Medéa de Mendonça Nelson Astur Alberto Ofenhejm Gotfryd Osmar Avanzi Maria Fernanda Silber Caffaro Robert Meves PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY Coluna/Columna Spine Spinal Fractures Spinal Injuries Fracture Fixation |
| title | PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY |
| title_full | PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY |
| title_fullStr | PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY |
| title_full_unstemmed | PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY |
| title_short | PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY |
| title_sort | percutaneous instrumentation without arthrodesis for thoracolumbar burst fractures a3 a4 b a retrospective study |
| topic | Spine Spinal Fractures Spinal Injuries Fracture Fixation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512021000400295&tlng=en |
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