Minimally Invasive Transpedicular Screw Fixation for Thoracolumbar FracturesA Retrospective Analysis in a Basic Neurosurgery Unit
Introduction: Thoracic and lumbar fractures are among the most common type of traumatic spine fractures. With advanced surgical technique and instrumentation the use of minimally invasive pedicle screw fixation for thoracolumbar fractures has increased. Minimally invasive spine procedures avoid...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/15712/51906_CE[Ra1]_F(SHU)_PF1(AG_AnK)_PFA(AG_AnK)_PN(KM).pdf |
| Summary: | Introduction: Thoracic and lumbar fractures are among the most
common type of traumatic spine fractures. With advanced surgical
technique and instrumentation the use of minimally invasive
pedicle screw fixation for thoracolumbar fractures has increased.
Minimally invasive spine procedures avoid excessive muscle
dissection and decreases trauma to tissues during surgery.
Aim: To study the outcome with minimally invasive spine surgery
for thoracolumbar fractures.
Materials and Methods: This study was designed as a
retrospective descriptive study. All patients with thoracic
and lumbar fractures who had undergone minimally invasive
percutaneous pedicle screw fixations from June 2016 to May
2019, in the Department of Neurosurgery were included. Cases
requiring laminectomy were excluded. A total of 25 patients were
included in this study. Mean blood loss, operative time, hospital
stay, postoperative pain and complications were assessed.
Data was entered in excel sheet and statistically analysed using
charts and graphs.
Results: Nineteen males (76%) and six females (24) were included in
this study. Mean age of the study population was 41.45 years. Mean
blood loss was 125 mL and no patient required blood transfusion.
Average duration of the procedure was 104±34.9 minutes. Improved
pain score was noted during postoperative period. No patient
developed Cerebrospinal Fluid (CSF) leak, new onset neurological
deficits and bowel or bladder involvement during the postoperative
period.
Conclusion: Minimally invasive spine fixation surgery is safe and
less destructive procedure which is fast and is associated with
minimal morbidity. Percutaneous techniques are associated with
less blood loss, shorter hospital stay and improved perioperative
pain scores. From the present study it was noticed that there
was an increased risk for radiation associated with minimally
invasive pedicle screw fixation. |
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| ISSN: | 2249-782X 0973-709X |