دورية أكاديمية
Spontaneous Spinal Canal Remodeling after Postural Pillow Reduction and Lordotic Posterior Column Compressive Percutaneous Transpedicular Screw Fixation in Neurologically Intact Thoracolumbar Burst Fractures
| العنوان: | Spontaneous Spinal Canal Remodeling after Postural Pillow Reduction and Lordotic Posterior Column Compressive Percutaneous Transpedicular Screw Fixation in Neurologically Intact Thoracolumbar Burst Fractures |
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| المؤلفون: | Hyeun Sung Kim, Byapak Paudel, Ki Joon Kim, Jee Soo Jang, Jeong-Hoon Choi, Sung Kyun Chung, Jeong Hoon Kim, Il Tae Jang, Seong Hoon Oh, Jae Eun Park, Sol Lee |
| المصدر: | Journal of Minimally Invasive Spine Surgery and Technique, Vol 2, Iss 1, Pp 20-26 (2017) |
| بيانات النشر: | Korean Minimally Invasive Spine Surgery Society, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Neurosciences. Biological psychiatry. Neuropsychiatry LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: | burst fracture, canal remodeling, postural reduction, percutaneous, pedicle screw, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: | Objective The optimal treatment methods for thoracolumbar burst fracture with intact neurology are not established yet. Spinal canal integrity, sagittal balance and anterior column intactness are very important for successful outcome in this type of injury. There is no study analyzing restoration of these parameters by low pressure restoration using postural pillow reduction and lordotic posterior column compressive percutaneous transpedicular screw fixation and this study analyzes canal remodeling, spinal balance and anterior column intactness after this procedure. Methods The surgical procedure included three different elements: (1) preoperative postural pillow reduction for 1-2 days, (2) augmentation of fractured vertebra by polymethylmethacrylate (PMMA) in osteoporotic bone or by non-PMMA materials in non-osteoporotic bone, and (3) lordotic, posterior column compressive, percutaneous transpedicular screw fixation. We measured anterior vertebral height, canal size and lordotic angle preoperatively, immediate postoperatively and after 6 months in 34 patients treated with this technique and were analyzed. Results Of 34 patients 17 were male. The mean age was 52.03±12.51 years. They were followed for 30.68±11.67 months on average. At 6 months, preoperative canal stenosis of 44% remodeled to 12%, preoperative anterior vertebral height of 44% increased to 77% and preoperative average kyphosis of 14 degrees corrected to 3.4 degrees No neurological deterioration noted. Functionally all patients returned to their previous status. Conclusion The postural pillow reduction and lordotic posterior column compressive percutaneous screw fixation in patients with neurologically intact thoracolumbar burst fracture is effective and safe. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2508-2043 |
| Relation: | http://www.jmisst.org/upload/pdf/jmisst-2017-00213.pdf; https://doaj.org/toc/2508-2043 |
| DOI: | 10.21182/jmisst.2017.00213 |
| URL الوصول: | https://doaj.org/article/b2d4bbf54f48421cb45344249e5b9adc |
| رقم الأكسشن: | edsdoj.b2d4bbf54f48421cb45344249e5b9adc |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25082043 |
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| DOI: | 10.21182/jmisst.2017.00213 |