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2015 ; 2015
(ä): 639542
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Minimal Invasive Circumferential Management of Thoracolumbar Spine Fractures
#MMPMID26649311
Pesenti S
; Graillon T
; Mansouri N
; Rakotozanani P
; Blondel B
; Fuentes S
Biomed Res Int
2015[]; 2015
(ä): 639542
PMID26649311
show ga
INTRODUCTION: While thoracolumbar fractures are common lesions, no strong
consensus is available at the moment. OBJECTIVES: The aim of this study was to
evaluate the results of a minimal invasive strategy using percutaneous
instrumentation and anterior approach in the management of thoracolumbar unstable
fractures. METHODS: 39 patients were included in this retrospective study.
Radiologic evaluation was based on vertebral and regional kyphosis, vertebral
body height restoration, and fusion rate. Clinical evaluation was based on Visual
Analogic Score (VAS). All evaluations were done preoperatively and at 1-year
follow-up. RESULTS: Both vertebral and regional kyphoses were significantly
improved on postoperative evaluation (13° and 7° versus -1° and -9°??P < 0.05,
resp.) as well as vertebral body height (0.92 versus 1.16, P < 0.05). At 1-year
follow-up, mean loss of correction was 1°. A solid fusion was visible in all the
cases, and mean VAS was significantly reduced form 8/10 preoperatively to 1/10 at
the last follow-up. CONCLUSION: Management of thoracolumbar fractures using
percutaneous osteosynthesis and minimal invasive anterior approach (telescopic
vertebral body prosthesis) is a valuable strategy. Results of this strategy offer
satisfactory and stable results in time.