Treatment of thoracolumbar fractures with short-segment transpediclar screw fixation and vertebroplasty via paraspinal intermuscular approach

To evaluate the clinical effects of short-segment transpedicular fixation and vertebroplasty via paraspinal intermuscular approach in treating thoracolumbar fractures. From January 2009 to January 2012,18 patients with thoracolumbar fractures without neurological symptoms were treated with short-seg...

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Bibliographic Details
Published inZhongguo gu shang Vol. 27; no. 2; p. 97
Main Authors Sun, Guan-Rong, Han, Lei
Format Journal Article
LanguageChinese
Published China 01.02.2014
Subjects
Aged
Bone Screws
Female
Fracture Fixation, Internal - methods
Humans
Male
Middle Aged
Spinal Fractures - surgery
Thoracic Vertebrae - injuries
Thoracic Vertebrae - surgery
Vertebroplasty - methods
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Summary:To evaluate the clinical effects of short-segment transpedicular fixation and vertebroplasty via paraspinal intermuscular approach in treating thoracolumbar fractures. From January 2009 to January 2012,18 patients with thoracolumbar fractures without neurological symptoms were treated with short-segment transpedicular fixation and vertebroplasty via paraspinal intermuscular approach. There were 11 males and 7 females, aged from 52 to 76 years old with an average of 62.2 years. The duration from injuries to surgery ranged from 8 h to 7 d with an average of 4.2 d. According to the Denis fracture classification, 12 cases got compression fractures and 6 cases got burst fractures. 6 vertebra with T12, 9 with L1, 6 with L2, and 3 with L3. Anterior vertebral body height, the sagittal Cobb angle, the sagittal index (SI), condition of internal fixation failure and recurrent kyphosis were observed. All patients were followed up for 12-28 months with an average of 16.5 months. Operation time was from 80 to 130 min with
ISSN:1003-0034