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Minimal Invasive Circumferential Management of Thoracolumbar Spine Fractures.

Pesenti S, Graillon T, Mansouri N, Rakotozanani P, Blondel B, Fuentes S - Biomed Res Int (2015)

Bottom Line: 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°.Results of this strategy offer satisfactory and stable results in time.

View Article: PubMed Central - PubMed

Affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Measurement of the ratio between the anterior and the posterior wall of the collapsed vertebra.
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fig1: Measurement of the ratio between the anterior and the posterior wall of the collapsed vertebra.

Mentions: All measurements were performed on pre- and postoperative CT-scan and at last follow-up. Vertebral and regional kyphoses were measured. The regional kyphosis was defined as the angle between the superior endplate of the overlying vertebra and the inferior endplate of the underlying vertebra. The ratio between the anterior and the posterior wall of the collapsed vertebra was also performed (AP ratio) [9] (Figure 1).


Minimal Invasive Circumferential Management of Thoracolumbar Spine Fractures.

Pesenti S, Graillon T, Mansouri N, Rakotozanani P, Blondel B, Fuentes S - Biomed Res Int (2015)

Measurement of the ratio between the anterior and the posterior wall of the collapsed vertebra.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663322&req=5

fig1: Measurement of the ratio between the anterior and the posterior wall of the collapsed vertebra.
Mentions: All measurements were performed on pre- and postoperative CT-scan and at last follow-up. Vertebral and regional kyphoses were measured. The regional kyphosis was defined as the angle between the superior endplate of the overlying vertebra and the inferior endplate of the underlying vertebra. The ratio between the anterior and the posterior wall of the collapsed vertebra was also performed (AP ratio) [9] (Figure 1).

Bottom Line: 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°.Results of this strategy offer satisfactory and stable results in time.

View Article: PubMed Central - PubMed

Affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus