Outcome of short segment added injury level pedicle screw fixation and conventional short segment pedicle screw fixation in thoraco-lumbar spine fractures
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 2
Abstract
Background: Conventional open spine surgery has several reported limitations including Hardware failure due vertebral factors, or a combination of both and loss of kyphosis correction.so by adding pedicle screw at injury level vertebrae this limitation was not occurred. Materials and methods: 50 patients of thoraco-lumbar fractures were selected between Oct 2013 to Oct 2015, with 25 randomly selected cases in each group and were managed by posterior either by conventional pedicle screw fixation (CPSF) or open short segment injury level pedicle screw fixation(SSIPSF) . Results: All the patients were followed up for a period of 6 to 24 months (average was 12.2 months). The kyphotic angle in SSIPSF pre-op was 26.76±4.33°, final follow-up was 13.60±2.63° with final correction of 13.16±3.47° compared to kyphotic angle in CPSF pre-op was 29.08±8.301°, final follow-up was 21.28±6.12° with final correction of 7.80±4.60°. SSIPSF offers better intra-op and post-op advantages over CPSF like Better kyphotic angle correction and better stability with no additional compication and no hardware failure. Conclusion: SSIPSF is a good procedure for wedge compression & burst fractures of spine in patients. Open SSIPSF inclusion of the fracture level into the construct offers a better kyphosis correction, in addition to no instrument failures, without additional complications had better and more rigid construct than CPSF.
Authors and Affiliations
Vinay Joshi, M. P. Jain, Vishnu Sharma, Deepak Agrawal
Keywords
Related Articles
- EP ID EP242111
- DOI -
- Views 88
- Downloads 0
Volar locking plate fixation for unstable distal radius fractures- A prospective study of functional and anatomical outcome
Distal end radius fractures represent approximately one-sixth of all fractures treated in the emergency department
A Randomised control study on effects of autologous platelet rich plasma injection in early osteoarthritis knee by single dose versus double dose regimen
Materials and Methods A total of 263 knees 150 patients males 65 females 85 with early OA were divided randomly into two groups Group A 75 patients 134 knees received a single injection of PRP group B 75 patients 129 kne...
Abductor reconstruction with gluteus maximus transfer in revision hemiarthroplasty
Introduction Abductor deficiency can be a debilitating problem following hip arthroplasty surgery and causes severe pain limp and instabilityDescription of Technique The authors had experienced abductor deficiency second...
A clinical study of the Safe use of Tourniquet – A prospective observational study
Introduction: This study was undertaken to evaluate LOP (lowest occlusion pressure) is superior to the other ways of usage of Pneumatic Tourniquets in Orthopaedics surgery i.e. Fixed and Systolic BP variant. Materials an...
Percutaneous transforaminal lumbar endoscopic discectomy: An appropriate outpatient procedure for lumbar disc pathologies in a high output tertiary care centre
Introduction A very common problem that we come across is that of lower backache in middle aged and elderly in which disc prolapse is far more prevalent in the population than realised However radicular steps like spine...