Pain Relief in Patients of Thoracolumbar Spine Fracture Treated with Pedicle Screws and Rods
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2013, Vol 25, Issue 01
Abstract
The objective of this study is to determine the effectiveness of posterior spinal fusion using pedicle screws and rods in terms of pain relief in patients with unstable thoracolumbar spine fracture. Methods and Materials: This descriptive study was done in Department of orthopedics, Hayatabad medical complex Peshawar on 66 consecutive patients from June 2011 to May 2012. Patients of above 18 years of either sex with unstable thoracolumbar spine fracture with moderate to severe pain were included while. Patients with malignancy, infections of spine, Diabetes mellitus and Smokers were excluded from the study. Results: In this study 69.7% patients were male and 30.3% were female. Three months after surgery 61% patients had no pain (Visual Analogue Scale 0 ), 30% patients had mild pain (VAS 1-3) not requiring anti-inflammatory drugs,4(6%)patients had moderate pain(VAS 4-7) requiring the occasional use of analgesics, 2(3%)patients had severe pain(VAS 8-10), with occasional loss of work days and significant changes in daily activities. Conclusions: Posterior spinal fixation with rods and screws results not only in excellent pain control in majority of patients but is also a useful choice for stability of spine and making the nursing care easier in paraplegic patients .
Authors and Affiliations
IMRAN KHAN WAZIR, QAZI FARHAT ULLAH, MUHAMMAD INAM, M ARIF, M SAEED, ABDUL SATAR
Keywords
Related Articles
- EP ID EP742745
- DOI -
- Views 15
- Downloads 0
Comparison of Pin Tract Infection Rate in Buried Versus Unburid Krischner Wires Fixation in the Management of Gartland Type III Supracondylar Fracture of Humerus in Children
Objective: To evaluate the results of pin tract infection rate in buried versus unburied Kirshner wires fixation in the management of Gartland type III supracondylar fracture of humerus in children. Methods: This rand...
Functional Outcome of Darrach procedure in the Treatment of Ulnar Impaction Syndrome
To determine the Functional Outcome of Darrach procedure in the treatment of ulnar impaction syndrome Materials and Methods: This Retrospective Cohort study was carried out at Department of Orthopaedics and Traumatology,...
Surgical Audit of Orthopaedics patients operated in covid-19 pandemic. Do patients have an increased complication rate?
Introduction: CoVID-19 (Coronavirus disease) pandemic has involved the whole globe and exposed the limitation of health care system of different countries. Although , different countries have introduced various modali...
Postoperative Changes and Outcomes in Intaoperative Neurophysiological Monitoring in Scoliosis Surgery
Objective: To evaluate the advantages of combined motor and sensory evoked potential monitoring during scoliosis surgery. Methods: We performed and analyzed the records of 107 (83 Female (77.5%) and 24 male (22.4%) Sc...
The Long Term Outcomes of Spinal Fusion in Adult Isthmic Spondylolisthesis
Objective: To evaluate the long-term outcomes of spinal fusion surgery for different spinal disorders, such as isthmic spondylolisthesis. Methods: The 67 patients, ages 18 to 55, who had adult lumbar isthmic spondylol...