The article evaluates the clinical effect of a custom-made Y-shaped fracture fragment reduction device in assisting with posterior unilateral small fenestration of the lamina to reduce fracture fragments. The study included 40 patients who were divided into two groups: the traditional reduction device group and the Y-shaped reduction device group. Both groups underwent the same surgical procedure, and data on operation time, intraoperative bleeding, spinal stenosis rate, Cobb angle, anterior compression ratio of injured vertebrae, and neurological function grade were compared between the two groups. The results showed that there were no complications for any of the patients, and the Y-shaped reduction device group had significantly lower operation duration and intraoperative blood loss compared to the traditional reduction device group. Additionally, there were no significant differences in spinal stenosis rate, Cobb angle, anterior compression ratio, or neurological recovery between the two groups. Overall, the study concludes that the Y-shaped fracture reduction device is effective in reducing fracture fragments and has satisfactory postoperative outcomes and clinical utility
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest day surgery hospital on Harley Street UK
Published article
CONCLUSION: The Y-shaped fracture reduction device can reduce the fracture fragments and the OT and IB stably; it also has satisfactory postoperative curative effects and clinical utility.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
J Orthop Surg Res. 2023 Jul 25;18(1):529. doi: 10.1186/s13018-023-03971-7.ABSTRACTBACKGROUND: The purpose was to evaluate the clinical effect of a custom-made Y-shaped fracture fragment reduction device and to assist in posterior unilateral small fenestration of lamina to reduce the fracture fragments.METHODS: In this study, 40 patients were assigned to one of two groups: the traditional reduction,
J Orthop Surg Res. 2023 Jul 25;18(1):529. doi: 10.1186/s13018-023-03971-7.
ABSTRACT
BACKGROUND: The purpose was to evaluate the clinical effect of a custom-made Y-shaped fracture fragment reduction device and to assist in posterior unilateral small fenestration of lamina to reduce the fracture fragments.
METHODS: In this study, 40 patients were assigned to one of two groups: the traditional reduction device group (TRG) or the Y-shaped reduction device group (YRG). All patients underwent posterior unilateral small fenestration of the lamina and direct decompression through the spinal canal. And the operation time (OT), intraoperative bleeding (IB), preoperative, postoperative, and final follow-up data on the spinal stenosis rate (SSR), Cobb angle, the anterior compression ratio of injured vertebrae (ACRIV), and ASIA neurological function grade were compared between the two groups.
RESULT: There were no complications, including vascular and nerve injury, serious postoperative infection, internal fixation fracture, or loosening, for any of the patients. And the average follow-up time of the two groups was 14.2 months, the average operation time of the TRG was 236.6 min, and the average intraoperative blood loss was 357.20 ml. Moreover, the average operation time of the YRG was 190.6 min, and the average intraoperative blood loss was 241.5 ml. There were significant differences between the two groups in terms of operation duration and intraoperative blood loss. The YRG’s was lower than that of the TRG. Besides, there was no difference in SSR, Cobb angle, ACRIV, or neurological recovery between the two groups before or immediately after the operation or at the last follow-up.
CONCLUSION: The Y-shaped fracture reduction device can reduce the fracture fragments and the OT and IB stably; it also has satisfactory postoperative curative effects and clinical utility.
PMID:37491312 | PMC:PMC10369761 | DOI:10.1186/s13018-023-03971-7
The London Spine Unit : finest day surgery hospital on Harley Street UK
Read the original publication:
Posterior unilateral small fenestration of lamina combined with a custom-made Y-shaped fracture reduction device for the treatment of severe thoracolumbar burst fracture: a prospective comparative study
