Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures
Background: Percutaneous pedicle screw fixation [PPSF], where screws are inserted through small holes in the skin, has become a popular approach for treating thoracolumbar and lumbar fractures. It has been shown to produce satisfactory outcomes.Aim of the work: The aim was to examine the procedure a...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2023-08-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_316962_ddeb8a632948e16bb5ab1b630a41ac11.pdf |
| _version_ | 1797364459990155264 |
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| author | Essam Mohamed Elbaz Samir El-Shoura Mustafa Rabea Mahmoud El Said |
| author_facet | Essam Mohamed Elbaz Samir El-Shoura Mustafa Rabea Mahmoud El Said |
| author_sort | Essam Mohamed Elbaz |
| collection | DOAJ |
| description | Background: Percutaneous pedicle screw fixation [PPSF], where screws are inserted through small holes in the skin, has become a popular approach for treating thoracolumbar and lumbar fractures. It has been shown to produce satisfactory outcomes.Aim of the work: The aim was to examine the procedure and assess the practicality, safety and results of using PPSF to treat thoracolumbar fractures.Patients and Methods: A prospective cohort study included 20 patients with thoracic or lumbar spine fracture, without neurological deficit, whom were operated upon by percutaneous screw fixation, and were assessed clinically [for improvement and development of complications] and radiologically [for healing and correction of deformity] by follow up over 6 months after surgery.Results: All cases achieved full radiological union by 3 months. The mean union time in our cohort was 2.1±0.5 months. Postoperatively, a statistically significant improvement in the vertebral kyphotic angle to a mean value of 4.7 ± 2.3 was observed [Bonferroni post-hoc test, P = 0.001]. The correction was maintained till last follow-up. Two patients [10%] developed incomplete paraplegia [Frankel grade D]. Misplacement of the pedicle screws was recorded in 6 of 90 screws in six patients.Conclusion: The PPSF is a valuable surgical procedure for patients with thoracic and lumbar vertebral fracture. |
| first_indexed | 2024-03-08T16:35:39Z |
| format | Article |
| id | doaj.art-cac4cba02e2e4567853058cae03fce61 |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-03-08T16:35:39Z |
| publishDate | 2023-08-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-cac4cba02e2e4567853058cae03fce612024-01-05T19:33:34ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802023-08-01583507351610.21608/ijma.2023.181427.1575316962Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar FracturesEssam Mohamed Elbaz0Samir El-Shoura1Mustafa Rabea2Mahmoud El Said3Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Neurosurgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptDepartment of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, EgyptBackground: Percutaneous pedicle screw fixation [PPSF], where screws are inserted through small holes in the skin, has become a popular approach for treating thoracolumbar and lumbar fractures. It has been shown to produce satisfactory outcomes.Aim of the work: The aim was to examine the procedure and assess the practicality, safety and results of using PPSF to treat thoracolumbar fractures.Patients and Methods: A prospective cohort study included 20 patients with thoracic or lumbar spine fracture, without neurological deficit, whom were operated upon by percutaneous screw fixation, and were assessed clinically [for improvement and development of complications] and radiologically [for healing and correction of deformity] by follow up over 6 months after surgery.Results: All cases achieved full radiological union by 3 months. The mean union time in our cohort was 2.1±0.5 months. Postoperatively, a statistically significant improvement in the vertebral kyphotic angle to a mean value of 4.7 ± 2.3 was observed [Bonferroni post-hoc test, P = 0.001]. The correction was maintained till last follow-up. Two patients [10%] developed incomplete paraplegia [Frankel grade D]. Misplacement of the pedicle screws was recorded in 6 of 90 screws in six patients.Conclusion: The PPSF is a valuable surgical procedure for patients with thoracic and lumbar vertebral fracture.https://ijma.journals.ekb.eg/article_316962_ddeb8a632948e16bb5ab1b630a41ac11.pdffracture fixationlumbar vertebraepedicle screwsspinal fracturesthoracic vertebrae |
| spellingShingle | Essam Mohamed Elbaz Samir El-Shoura Mustafa Rabea Mahmoud El Said Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures International Journal of Medical Arts fracture fixation lumbar vertebrae pedicle screws spinal fractures thoracic vertebrae |
| title | Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures |
| title_full | Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures |
| title_fullStr | Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures |
| title_full_unstemmed | Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures |
| title_short | Feasibility of Percutaneous Pedicle Screw Fixation in The Treatment of Thoracolumbar Fractures |
| title_sort | feasibility of percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures |
| topic | fracture fixation lumbar vertebrae pedicle screws spinal fractures thoracic vertebrae |
| url | https://ijma.journals.ekb.eg/article_316962_ddeb8a632948e16bb5ab1b630a41ac11.pdf |
| work_keys_str_mv | AT essammohamedelbaz feasibilityofpercutaneouspediclescrewfixationinthetreatmentofthoracolumbarfractures AT samirelshoura feasibilityofpercutaneouspediclescrewfixationinthetreatmentofthoracolumbarfractures AT mustafarabea feasibilityofpercutaneouspediclescrewfixationinthetreatmentofthoracolumbarfractures AT mahmoudelsaid feasibilityofpercutaneouspediclescrewfixationinthetreatmentofthoracolumbarfractures |