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Transvertebral Bone Graft and Augmentation Versus Posterior Spinal Instrumentation within the Therapy of Easy Thoracolumbar Compression Fractures.

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Transvertebral Bone Graft and Augmentation Versus Posterior Spinal Instrumentation within the Therapy of Easy Thoracolumbar Compression Fractures.

World Neurosurg. 2018 Could;113:e271-e279

Authors: Hou Y, Shi J, Solar J, Guo Y, Xu G, Shi G

Summary
OBJECTIVE: This retrospective cohort research was carried out to analyze medical efficacy of TBGA in contrast with pedicle screw fixation (PSF).
METHODS: A complete of 86 eligible sufferers with single-level easy thoracolumbar compression fracture (TLCF) acquired TBGA (n = 41) or PSF (n = 45) from January 2013 to July 2015. The sufferers have been evaluated utilizing plain radiography, computed tomography, and magnetic resonance imaging preoperatively. The radiologic examinations have been carried out at every time level postoperatively. Scientific standing was assessed utilizing the Oswestry Incapacity Index (ODI) and visible analog scale (VAS) scores. As well as, anterior vertebral physique peak (AVBH), kyphosis angle (KA), radiologic adjoining section pathology (RASP), and complication charges have been additionally in contrast between the two teams. The common follow-up interval of sufferers was 26.1 months.
RESULTS: Important medical enhancements in ODI, VAS, AVBH, and KA have been achieved in each TBGA and PSF teams after surgical procedure, respectively (P < zero.05). There was no statistical distinction in enhancements of ODI and VAS between the TBGA and PSF teams (P > zero.05). Equally, enhancements of AVBH and KA confirmed no statistical distinction between the two teams (P > zero.05). As well as, the charges of RASP and problems in PSF group have been considerably increased than the TBGA group through the follow-up interval (P < zero.05).
CONCLUSIONS: TBGA can obtain passable medical results in remedy of straightforward TLCF. TBGA entails shorter operative time, much less blood loss, decrease RASP, and decrease complication charges and might be extra appropriate for the surgical remedy of straightforward TLCF.

PMID: 29438793 [PubMed – indexed for MEDLINE]

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