Pure percutaneous pedicle screw fixation without arthrodesis of 32 thoraco-lumbar fractures: clinical and radiological outcome with 36-month follow-up

[摘要] PurposeTo evaluate the outcome of pure percutaneous fixation of unstable single level fractures at the thoraco-lumbar junction (A1 to B2 Magerl/AO Spine).MethodNeurological intact patients were included in a 2-year prospective study (follow-up 36 months). Two groups were considered: the group in which additional short bilateral screws in the fractured vertebra were placed was called lordorizing screw group (LSG), the other was called non lordorizing screw group (nLSG). Clinical outcome was evaluated using the SF-36, the Oswestry disability index and the recovery time needed to go back work. The following radiological parameters were also evaluated on the follow-up exams: the Mid-Sagittal Index, the Cobb’s angle and the Sagittal Index.ResultsIn the LSG, the correction values of MSI, Cobb’s angle and SI were statistically significantly higher than in nLSG.ConclusionWhen feasible we recommend a pure percutaneous short segment pedicle screw fixation adding a lordorizing screw...

[学科分类] 骨科学

[关键词] Percutaneous pedicle screw fixation ;Additional screw ;Thoraco-lumbar fracture ;Minimally invasive surgery