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The Retrospective Analysis of Posterior Short-Segment Pedicle Instrumentation without Fusion for Thoracolumbar Burst Fracture with Neurological Deficit
Joint Authors
Deng, Zhouming
Cai, Lin
Zou, Hui
Ping, Ansong
Wang, Yongzhi
Ai, Qiyong
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
This study aims to investigate the efficacy of posterior short-segment pedicle instrumentation without fusion in curing thoracolumbar burst fracture.
All of the 53 patients were treated with short-segment pedicle instrumentation and laminectomy without fusion, and the restoration of retropulsed bone fragments was conducted by a novel custom-designed repositor (RRBF).
The mean operation time and blood loss during surgery were analyzed; the radiological index and neurological status were compared before and after the operation.
The mean operation time was 93 min (range: 62–110 min) and the mean intraoperative blood loss was 452 mL in all cases.
The average canal encroachment was 50.04% and 10.92% prior to the surgery and at last followup, respectively ( P < 0.01 ).
The preoperative kyphotic angle was 17.2 degree (±6.87 degrees), whereas it decreased to 8.42 degree (±4.99 degrees) at last followup ( P < 0.01 ).
Besides, the mean vertebral body height increased from 40.15% (±9.40%) before surgery to 72.34% (±12.32%) at last followup ( P < 0.01 ).
45 patients showed 1-2 grades improvement in Frankel’s scale at last followup.
This technique allows for satisfactory canal clearance and restoration of vertebral body height and kyphotic angle, and it may promote the recovery of neurological function.
However, further research is still necessary to confirm the efficacy of this treatment.
American Psychological Association (APA)
Deng, Zhouming& Zou, Hui& Cai, Lin& Ping, Ansong& Wang, Yongzhi& Ai, Qiyong. 2014. The Retrospective Analysis of Posterior Short-Segment Pedicle Instrumentation without Fusion for Thoracolumbar Burst Fracture with Neurological Deficit. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1049683
Modern Language Association (MLA)
Deng, Zhouming…[et al.]. The Retrospective Analysis of Posterior Short-Segment Pedicle Instrumentation without Fusion for Thoracolumbar Burst Fracture with Neurological Deficit. The Scientific World Journal No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1049683
American Medical Association (AMA)
Deng, Zhouming& Zou, Hui& Cai, Lin& Ping, Ansong& Wang, Yongzhi& Ai, Qiyong. The Retrospective Analysis of Posterior Short-Segment Pedicle Instrumentation without Fusion for Thoracolumbar Burst Fracture with Neurological Deficit. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1049683
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1049683