alexa Minimally Invasive Percutaneous Pedicle Screw Fixation for Thoracolumbar Spine Fractures: Case Report and Review of Literature | OMICS International
ISSN: 2167-1222

Journal of Trauma & Treatment
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Review Article

Minimally Invasive Percutaneous Pedicle Screw Fixation for Thoracolumbar Spine Fractures: Case Report and Review of Literature

Kaisorn L. Chaichana*, Rafael De la Garza-Ramos, Daniel M. Sciubba, Ziya L. Gokaslan and Ali A. Baaj
Department of Neurosurgery, The Johns Hopkins School of Medicine, USA
Corresponding Author : Kaisorn L. Chaichana
Department of Neurosurgery, The Johns Hopkins Hospital
600 North Wolfe Street, Meyer 8-161
Baltimore, Maryland 21287, USA
Tel: 410-614-3882
Fax: 410-502-5559
E-mail: [email protected]
Received April 16, 2012; Accepted May 10, 2012; Published May 12, 2012
Citation: Chaichana KL, la Garza-Ramos RD, Sciubba DM, Gokaslan ZL, Baaj AA (2012) Minimally Invasive Percutaneous Pedicle Screw Fixation for Thoracolumbar Spine Fractures: Case Report and Review of Literature. J Trauma Treat 1:134. doi:10.4172/2167-1222.1000134
Copyright: © 2012 Chaichana KL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Study background: Thoracolumbar fractures are among the most common type of traumatic spine fractures. The use of minimally invasive, percutaneous pedicle screw fixation for these fractures has been limited to case reports and small case series. The efficacy of this approach remains unclear. Methods: The evaluation and management of a patient with traumatic T12 burst fracture is presented. In addition, a literature review of the Medline and PubMed databases was conducted. Results: A total of 166 patients from 8 studies were identified. Average age was 46 years. Polytrauma was reported in 27% of patients. Average surgery time was 91 minutes, with an average blood loss of 95 milliliters. Reported complications were non-healing fracture in 3(2%), infection in 1(0.6%), mal-positioned screw in 1(0.6%), and hematoma in 1(0.6%) at a median follow-up time of 26 months. Pain improved by an average of 6 points after surgery according to visual analog score, and mean kyphosis correction in these studies was 8.5°. Conclusions: This review demonstrates that minimally invasive, percutaneous pedicle screw fixation is a viable option for the management of traumatic thoracolumbar fractures in neurologically intact patients. Patients who are older and/or present with polytrauma may most benefit from this type of intervention.

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