Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture
Study Design Retrospective study. Purpose To compare the clinical and radiological results of minimally invasive spine surgery (MISS) and open posterior instrumentation surgery for the treatment of unstable burst fractures. Overview of Literature MISS has exhibited postoperative outcomes similar to...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2021-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2020-0572.pdf |
| _version_ | 1819320243897499648 |
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| author | Sung-Ha Hong Seung-Pyo Suh Jiung Yeom Joo-Young Kim Seung Gi Lee Jeong-Woon Han |
| author_facet | Sung-Ha Hong Seung-Pyo Suh Jiung Yeom Joo-Young Kim Seung Gi Lee Jeong-Woon Han |
| author_sort | Sung-Ha Hong |
| collection | DOAJ |
| description | Study Design Retrospective study. Purpose To compare the clinical and radiological results of minimally invasive spine surgery (MISS) and open posterior instrumentation surgery for the treatment of unstable burst fractures. Overview of Literature MISS has exhibited postoperative outcomes similar to those obtained using open posterior instrumentation in various spine diseases. There remains no consensus regarding the use of MISS in the treatment of unstable burst fracture. Methods We enrolled 40 patients who underwent either MISS (M group, 20 patients) or open posterior instrumentation surgery (O group, 20 patients) for the treatment of traumatic unstable burst fractures. Clinical outcomes were evaluated based on postoperative back pain, operation time, blood loss, hospital stay duration, and perioperative complications. For radiologic evaluation, preoperative magnetic resonance imaging and plain radiography were performed before and after the surgery to evaluate the changes in the kyphotic angle and fracture union. Results The change in the kyphotic angle was −8.2°±5.8° in the M group and −8.0°±7.8° in the O group. No significant difference was noted in terms of the change in the kyphotic angle (p=0.94, t-test) after 12 months of surgery. The Visual Analog Scale score was 1.5±0.7 points in the M group, while it was 5.2±1.4 points in the O group. In the M group, back pain has significantly decreased (p<0.01, t-test). The estimated blood loss was 195.5 mL in the M group and 1,077.5 mL in the O group; the operation time was significantly decreased in the O group from 290.7 to 120.7 minutes in the M group (p<0.05, t-test) (p=0.36, t-test). The average duration of hospital stay was 36.0 days in the M group and 41.9 days in the O group (p=0.36, t-test). Conclusions For the treatment of unstable burst fractures, MISS showed significant differences in terms of postoperative back pain, operation time, and blood loss as compared to open posterior instrumentation surgery. |
| first_indexed | 2024-12-24T11:16:29Z |
| format | Article |
| id | doaj.art-65de2ddde38949ef8780b9cb9bbfdf9d |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-24T11:16:29Z |
| publishDate | 2021-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-65de2ddde38949ef8780b9cb9bbfdf9d2022-12-21T16:58:21ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462021-12-0115676176810.31616/asj.2020.05721362Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst FractureSung-Ha Hong0Seung-Pyo Suh1Jiung Yeom2Joo-Young Kim3Seung Gi Lee4Jeong-Woon Han5Department of Orthopedic Surgery, Sung-Ae Hospital, Seoul, KoreaDepartment of Orthopedic Surgery, Sung-Ae Hospital, Seoul, KoreaDepartment of Orthopedic Surgery, Sung-Ae Hospital, Seoul, KoreaDepartment of Orthopedic Surgery, Sung-Ae Hospital, Seoul, KoreaDepartment of Orthopedic Surgery, Sung-Ae Hospital, Seoul, KoreaDepartment of Orthopedic Surgery, Sung-Ae Hospital, Seoul, KoreaStudy Design Retrospective study. Purpose To compare the clinical and radiological results of minimally invasive spine surgery (MISS) and open posterior instrumentation surgery for the treatment of unstable burst fractures. Overview of Literature MISS has exhibited postoperative outcomes similar to those obtained using open posterior instrumentation in various spine diseases. There remains no consensus regarding the use of MISS in the treatment of unstable burst fracture. Methods We enrolled 40 patients who underwent either MISS (M group, 20 patients) or open posterior instrumentation surgery (O group, 20 patients) for the treatment of traumatic unstable burst fractures. Clinical outcomes were evaluated based on postoperative back pain, operation time, blood loss, hospital stay duration, and perioperative complications. For radiologic evaluation, preoperative magnetic resonance imaging and plain radiography were performed before and after the surgery to evaluate the changes in the kyphotic angle and fracture union. Results The change in the kyphotic angle was −8.2°±5.8° in the M group and −8.0°±7.8° in the O group. No significant difference was noted in terms of the change in the kyphotic angle (p=0.94, t-test) after 12 months of surgery. The Visual Analog Scale score was 1.5±0.7 points in the M group, while it was 5.2±1.4 points in the O group. In the M group, back pain has significantly decreased (p<0.01, t-test). The estimated blood loss was 195.5 mL in the M group and 1,077.5 mL in the O group; the operation time was significantly decreased in the O group from 290.7 to 120.7 minutes in the M group (p<0.05, t-test) (p=0.36, t-test). The average duration of hospital stay was 36.0 days in the M group and 41.9 days in the O group (p=0.36, t-test). Conclusions For the treatment of unstable burst fractures, MISS showed significant differences in terms of postoperative back pain, operation time, and blood loss as compared to open posterior instrumentation surgery.http://www.asianspinejournal.org/upload/pdf/asj-2020-0572.pdfspinespinal fracturesminimally invasive surgical proceduresinstrumentationpedicle screws |
| spellingShingle | Sung-Ha Hong Seung-Pyo Suh Jiung Yeom Joo-Young Kim Seung Gi Lee Jeong-Woon Han Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture Asian Spine Journal spine spinal fractures minimally invasive surgical procedures instrumentation pedicle screws |
| title | Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture |
| title_full | Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture |
| title_fullStr | Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture |
| title_full_unstemmed | Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture |
| title_short | Minimally Invasive Spine Surgery versus Open Posterior Instrumentation Surgery for Unstable Thoracolumbar Burst Fracture |
| title_sort | minimally invasive spine surgery versus open posterior instrumentation surgery for unstable thoracolumbar burst fracture |
| topic | spine spinal fractures minimally invasive surgical procedures instrumentation pedicle screws |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2020-0572.pdf |
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