Short Segment Posterior Pedicle Instrumentation for Traumatic Thoracic and Lumbar Fractures: Is Bone Grafting Really Needed?
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Background: The use of bone grafting in treatment of thoracic and lumbar trauma continues to be one of the controversial areas in the trauma care. The purpose of this study is to find out the outcome of pedicle instrumentation in traumatic thoracic &lumbar fractures without bone grafting in our cohort. Methods: This study initially included 32 patients with single level traumatic thoracic &lumbar vertebral fractures with or without neurological deficit between May 2009 to December 2010. All patients underwent clinico- radiological assessment followed by short segment posterior pedicle instrumentation without bone grafting.2 patients were lost to follow up. Results: Mean age of the patients was 31 years, withan average follow up of 45 months. Seventy percent of the patients sustained injuries at D12 and L1 vertebral level.15 patients (50%) compression fractures, 14 (46.67%) burst fractures and 1(3.33%) fracture dislocation according to Denis classification. Average operative time was 90.3 minutes and blood loss averaged 148.6 ml. 3 patients (10%) had screw loosening. Our study also showed statistically significant correction ( p< 0.01) in all radiological parameters including sagittal index, anterior body compression, sagittal plane kyphosis, vertebral kyphosis and regional kyphosis. Conclusion: In the management of patients of traumatic thoracic &lumbar fracture; bone grafting and fusion may not be required with short segment posterior pedicle instrumentation
Authors and Affiliations
Gaurav Kumar Upadhyaya, Rajendra Kumar Arya
Keywords
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- EP ID EP606251
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