A Retrospective Research of Thoracolumbar Fractures Handled with Fixation and Nonfusion Surgical procedure of Intravertebral Bone Graft Assisted with Balloon Kyphoplasty.
World Neurosurg. 2017 Dec;108:798-806
Authors: Zhang C, Ouyang B, Li P, Wang L, Luo L, Zhao C, Liu L, Tu B, Hou T, Arnold P, Zhou Q
BACKGROUND: Posterior fixation and fusion is the first remedy for thoracolumbar fractures, though this remedy might sacrifice vary of movement (ROM) to realize stability, moderately than treating the fracture itself. Two points addressed when treating thoracolumbar fractures are 1) changing the fractured vertebrae, particularly the higher finish plate of the injured vertebrae and a couple of) offering sturdy fixation with biomechanical stability and adaptability.
METHODS: This retrospective research included 61 consecutive sufferers with thoracic or lumbar fractures handled from October 2010 to Might 2014. Sufferers have been divided into 1 of two teams: group A, intravertebral bone graft with balloon kyphoplasty (nonfusion surgical procedure), and group B, conventional posterior fixation and fusion surgical procedure. The visible analog scale was used preoperatively and at three months, 1 yr, and a couple of years. Radiography, computed tomography, and magnetic resonance imaging have been carried out preoperatively. Radiography was carried out postoperatively at three months and a couple of years. At three months after surgical procedure, computed tomography was used to verify therapeutic of the vertebral fracture.
RESULTS: All fractures in each teams have been decreased efficiently, and deformities have been improved. After the removing of in group A, ROM on the harm degree recovered, and at 2 years, there was no lack of vertebral top or recurrence of deformity. There was no failure in group A, however there was proof of screw loosening in three screws in group B.
CONCLUSIONS: Nonfusion remedy of intravertebral bone graft assisted with balloon kyphoplasty confirmed good fracture discount, deformity correction, fracture therapeutic, and ROM upkeep. There have been no problems related to the implant.
PMID: 28844910 [PubMed – indexed for MEDLINE]