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2015 ; 55
(7
): 564-9
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Asymmetric Posterior Thoracolumbar Fixation following a Posterolateral
Transpedicular Approach for Unilateral Vertebral Disease
#MMPMID25797773
Yilmaz M
; Karakasli A
; Kalemci O
; Kizmazoglu C
; Yuksel ZK
; Arda NM
; Yucesoy K
Neurol Med Chir (Tokyo)
2015[]; 55
(7
): 564-9
PMID25797773
show ga
The present study aimed to evaluate the clinical outcomes of patients who
underwent asymmetrical posterior screw fixation for the treatment of unilateral
posterior vertebral pathological entities. The study included 21 patients with a
spinal tumor who underwent asymmetrical posterior spinal fusion surgery between
April 2009 and March 2012. The American Spinal Injury Association (ASIA) motor
score visual analog scale (VAS) score were used as the outcome measure at
admission and follow-up. Among the 21 patients, 12 were male and 9 were female,
and mean age was 50.71 (range, 24-78) years. Mean follow-up was 16.04 (range,
4-47) months. Postoperatively, neurological findings did not deteriorate in any
of the patients. Among the ASIA grade C and D patients, eight (38%) of them
exhibited clinical stability or recovery to ASIA E, whereas none of the ASIA B
patients scores changed postoperatively. Perioperative complications were noted
in six patients (28%). Spinal stability and fusion were achieved in 18 (85%)
patients. The surgical asymmetrical fixation technique described reduced the
duration of surgery, and the patients required less dissection of paraspinal
muscles than bilateral symmetrical fixation. Asymmetrical fixation provides good
stabilization for unilateral thoracolumbar vertebral pathological entities, and
facilitates rapid rehabilitation of such patients, who are often elderly with
comorbidities.