Percutaneous pedicle screw fixation plus kyphoplasty for thoracolumbar fractures A2, A3 and B2

被引：28
作者：
Korovessis, Panagiotis [1 ]
Mpountogianni, Eva [1 ]
Syrimpeis, Vasilleios [1 ]
机构：
[1] Gen Hosp Patras, Dept Orthopaed, Patras, Greece
来源：
EUROPEAN SPINE JOURNAL | 2017年 / 26卷 / 05期
关键词：
Percutaneous; Pedicle screws; Thoracolumbar fractures; Kyphoplasty; FACET JOINT VIOLATION; LUMBAR INTERBODY FUSION; BURST FRACTURES; CALCIUM-PHOSPHATE; INSTRUMENTATION; SPINE; VERTEBROPLASTY; AUGMENTATION; PLACEMENT;
D O I：
10.1007/s00586-016-4743-6
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Retrospective cohort. The aim of this study is to evaluate the effectiveness of percutaneous short fixation (PSFx) plus kyphoplasty (BP) for thoracolumbar fractures. Thirty-six consecutive selected patients, aged 59 +/- 17 years, with fresh single thoracolumbar A(2), A(3), and B-2 AO-type fracture, received PSFx plus BP. The primary outcomes pain, and vertebral body deformity; and the secondary outcomes screw malposition, facet violation, PMMA leakage, adjacent segment degeneration (ASD) and loss of correction were evaluated. The f/up was 31 +/- 7 months. Pain and kyphosis decreased and vertebral body heights increased significantly postoperation. PMMA leakage occurred in five cases; 6 (4 %) screws were grades III malpositioned in relation to pedicle; facet violation occurred in 8 (5.5 %) facets; loss of kyphosis correction was 3.68A degrees; ASD occurred in two cases; interfacet fusion in ten (28 %) patients; Three patients were reoperated for different reasons. PSFx plus BP for thoracolumbar fractures reduces significantly spinal deformity and pain with few complications.
引用
收藏
页码：1492 / 1498
页数：7
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