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European Spine Journal

Erschienen in:

01.11.2013 | Original Article

Pure percutaneous pedicle screw fixation without arthrodesis of 32 thoraco-lumbar fractures: clinical and radiological outcome with 36-month follow-up

verfasst von: Marco Cimatti, Stefano Forcato, Filippo Polli, Massimo Miscusi, Alessandro Frati, Antonino Raco

Erschienen in: European Spine Journal | Sonderheft 6/2013

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Abstract

Purpose

To evaluate the outcome of pure percutaneous fixation of unstable single level fractures at the thoraco-lumbar junction (A1 to B2 Magerl/AO Spine).

Method

Neurological intact patients were included in a 2-year prospective study (follow-up 36 months). Two groups were considered: the group in which additional short bilateral screws in the fractured vertebra were placed was called lordorizing screw group (LSG), the other was called non lordorizing screw group (nLSG). Clinical outcome was evaluated using the SF-36, the Oswestry disability index and the recovery time needed to go back work. The following radiological parameters were also evaluated on the follow-up exams: the Mid-Sagittal Index, the Cobb’s angle and the Sagittal Index.

Results

In the LSG, the correction values of MSI, Cobb’s angle and SI were statistically significantly higher than in nLSG.

Conclusion

When feasible we recommend a pure percutaneous short segment pedicle screw fixation adding a lordorizing screw.

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Titel: Pure percutaneous pedicle screw fixation without arthrodesis of 32 thoraco-lumbar fractures: clinical and radiological outcome with 36-month follow-up
verfasst von: Marco Cimatti
Stefano Forcato
Filippo Polli
Massimo Miscusi
Alessandro Frati
Antonino Raco
Publikationsdatum: 01.11.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe Sonderheft 6/2013
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-3016-x

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