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European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

16.05.2018 | Original Article • SPINE - FRACTURES

Minimally invasive reduction and percutaneous posterior fixation of one-level traumatic thoraco-lumbar and lumbar spine fractures

verfasst von: Marco Tinelli, Friederike Töpfer, Michael Kreinest, Stefan Matschke, Paul A. Grützner, Arnold J. Suda

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 8/2018

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Abstract

Introduction

Although open procedures are the gold standard, the alternative approach of minimal invasive reduction using percutaneous screws for thoracic and lumbar spine fractures is under discussion. Aim of this study was to investigate the results of reduction and the accuracy of screw placement in minimally invasive percutaneous posterior instrumentation for these fractures.

Materials and methods

One hundred and twenty-seven patients with thoraco-lumbar and lumbar burst fractures and minimal invasive dorsal instrumentation were analyzed retrospectively in terms of the accuracy of pedicle screw placement and results of fracture reduction.

Results

In total, 542 screws were placed. Thirty-four (6.3%) screws of 22 patients (17.3%) were misplaced, but misplacement was minimal, replacement of any screw position due to instability was not necessary, and no new neurological deficit occurred. In thoraco-lumbar fractures (82/64.5%), reduction succeeded from 2.5 ± 6° kyphosis to 5.6 ± 5.7° lordosis (p < 0.001) and in lumbar spine fractures from 6.9° ± 10.3° lordosis to 14.5° ± 8.8° lordosis (p < 0.001).

Conclusion

Minimal invasive percutaneous dorsal instrumentation of burst fractures of the thoraco-lumbar and lumbar spine provides adequate reduction and reliable regular screw placement.

Level of evidence

Level IV (retrospective series).

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Titel: Minimally invasive reduction and percutaneous posterior fixation of one-level traumatic thoraco-lumbar and lumbar spine fractures
verfasst von: Marco Tinelli
Friederike Töpfer
Michael Kreinest
Stefan Matschke
Paul A. Grützner
Arnold J. Suda
Publikationsdatum: 16.05.2018
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 8/2018
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2224-9

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Springer Medizin

Minimally invasive reduction and percutaneous posterior fixation of one-level traumatic thoraco-lumbar and lumbar spine fractures

Abstract

Introduction

Materials and methods

Results

Conclusion

Level of evidence

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Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusion

Level of evidence

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