Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures
ObjectiveTo evaluate the clinical effects of the posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage (TMC) for thoracic and lumbar burst fractures.Materials and methodsFrom May 2013 to May 2018, 27 patients with single-le...
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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.2022.1089697/full |
| _version_ | 1828067200461701120 |
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| author | Lei Shi Lei Shi Qi-jun Ge Qi-jun Ge Yun Cheng Yun Cheng Lu Lin Lu Lin Qing-Shuai Yu Qing-Shuai Yu Si Cheng Si Cheng Xiao-Lin Chen Xiao-Lin Chen Hong-Quan Shen Fu Chen Fu Chen Zheng-jian Yan Zheng-jian Yan Yang Wang Yang Wang Lei Chu Lei Chu Zhen-Yong Ke Zhen-Yong Ke |
| author_facet | Lei Shi Lei Shi Qi-jun Ge Qi-jun Ge Yun Cheng Yun Cheng Lu Lin Lu Lin Qing-Shuai Yu Qing-Shuai Yu Si Cheng Si Cheng Xiao-Lin Chen Xiao-Lin Chen Hong-Quan Shen Fu Chen Fu Chen Zheng-jian Yan Zheng-jian Yan Yang Wang Yang Wang Lei Chu Lei Chu Zhen-Yong Ke Zhen-Yong Ke |
| author_sort | Lei Shi |
| collection | DOAJ |
| description | ObjectiveTo evaluate the clinical effects of the posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage (TMC) for thoracic and lumbar burst fractures.Materials and methodsFrom May 2013 to May 2018, 27 patients with single-level thoracic and lumbar burst fractures were enrolled. Every patient was followed for at least 18 months. Demographic data, neurologic status, back pain, canal compromise, anterior body compression, operative time, estimated blood loss and surgical-related complications were evaluated. Radiographs were reviewed to assess deformity correction, anterior body height correction, bony fusion and TMC subsidence.ResultsThe average preoperative percentages of canal compromise and anterior body height compression were 58.4% and 50.5%, respectively. All surgeries were successfully completed in one phase, the operative time was 151.5 ± 25.5 min (range: 115–220 min), the estimated blood loss was 590.7 ± 169.9 ml (range: 400–1,000 ml). Neurological function recovery was significantly improved except for 3 grade A patients. The preoperative visual analog scale (VAS) scores for back pain were significantly decreased compared with the values at the last follow-up (P = 0.000). The correct deformity angle was 12.4 ± 4.7° (range: 3.9–23.3°), and the anterior body height recovery was 96.7%. The TMC subsidence at the last follow-up was 1.3 ± 0.7 mm (range: 0.3–3.1 mm). Bony fusion was achieved in all patients.ConclusionThe posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double TMC is a clinically feasible, safe and alternative treatment for thoracic and lumbar burst fractures. |
| first_indexed | 2024-04-10T23:42:37Z |
| format | Article |
| id | doaj.art-6dabb1adddfe485fa6a3478bf990166b |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T23:42:37Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-6dabb1adddfe485fa6a3478bf990166b2023-01-11T06:14:27ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10896971089697Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fracturesLei Shi0Lei Shi1Qi-jun Ge2Qi-jun Ge3Yun Cheng4Yun Cheng5Lu Lin6Lu Lin7Qing-Shuai Yu8Qing-Shuai Yu9Si Cheng10Si Cheng11Xiao-Lin Chen12Xiao-Lin Chen13Hong-Quan Shen14Fu Chen15Fu Chen16Zheng-jian Yan17Zheng-jian Yan18Yang Wang19Yang Wang20Lei Chu21Lei Chu22Zhen-Yong Ke23Zhen-Yong Ke24Department of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaJiangjin Central Hospital, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaDepartment of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaGeriatric Clinical Research Center of Chongqing, Chongqing, ChinaObjectiveTo evaluate the clinical effects of the posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage (TMC) for thoracic and lumbar burst fractures.Materials and methodsFrom May 2013 to May 2018, 27 patients with single-level thoracic and lumbar burst fractures were enrolled. Every patient was followed for at least 18 months. Demographic data, neurologic status, back pain, canal compromise, anterior body compression, operative time, estimated blood loss and surgical-related complications were evaluated. Radiographs were reviewed to assess deformity correction, anterior body height correction, bony fusion and TMC subsidence.ResultsThe average preoperative percentages of canal compromise and anterior body height compression were 58.4% and 50.5%, respectively. All surgeries were successfully completed in one phase, the operative time was 151.5 ± 25.5 min (range: 115–220 min), the estimated blood loss was 590.7 ± 169.9 ml (range: 400–1,000 ml). Neurological function recovery was significantly improved except for 3 grade A patients. The preoperative visual analog scale (VAS) scores for back pain were significantly decreased compared with the values at the last follow-up (P = 0.000). The correct deformity angle was 12.4 ± 4.7° (range: 3.9–23.3°), and the anterior body height recovery was 96.7%. The TMC subsidence at the last follow-up was 1.3 ± 0.7 mm (range: 0.3–3.1 mm). Bony fusion was achieved in all patients.ConclusionThe posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double TMC is a clinically feasible, safe and alternative treatment for thoracic and lumbar burst fractures.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1089697/fullspinal canal decompressionthree-column reconstructiondouble titanium mesh cageposterior approachthoracic and lumbar burst fracture |
| spellingShingle | Lei Shi Lei Shi Qi-jun Ge Qi-jun Ge Yun Cheng Yun Cheng Lu Lin Lu Lin Qing-Shuai Yu Qing-Shuai Yu Si Cheng Si Cheng Xiao-Lin Chen Xiao-Lin Chen Hong-Quan Shen Fu Chen Fu Chen Zheng-jian Yan Zheng-jian Yan Yang Wang Yang Wang Lei Chu Lei Chu Zhen-Yong Ke Zhen-Yong Ke Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures Frontiers in Surgery spinal canal decompression three-column reconstruction double titanium mesh cage posterior approach thoracic and lumbar burst fracture |
| title | Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures |
| title_full | Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures |
| title_fullStr | Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures |
| title_full_unstemmed | Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures |
| title_short | Posterior unilateral approach with 270° spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures |
| title_sort | posterior unilateral approach with 270° spinal canal decompression and three column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures |
| topic | spinal canal decompression three-column reconstruction double titanium mesh cage posterior approach thoracic and lumbar burst fracture |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1089697/full |
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