Minimally invasive posterior surgery for thoracolumbar fractures. New trends to decrease muscle damage

Charles, Yann Philippe; Zaïri, Fahed; Vincent, C; Fuentès, S.; Bronsard, Nicolas; Court, Charles; Huec, Jean-Charles Le

doi:10.1007/s00590-011-0781-2

Cited by 23 publications

(12 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[22][23][24][25][26] Our results confirmed that both PSF and OPSF are safe and effective for the treatment of TL fractures. [22][23][24] Our results indicated obvious correction of the percentage of anterior column height, the sagittal regional Cobb angle, and kyphotic angle of the fractured vertebra in all patients immediately and 18 months after the surgery. The mean operation time was a little shorter in the PSF group compared with the OPSF group (58 versus 62 minutes), but with no statistical significance.…”

Section: Discussionsupporting

confidence: 75%

“…Some other clinical studies reported shorter operation time for percutaneous compared with open techniques. 22,23 But another study did not show any difference in operation time between these two techniques. 24 All the procedures of our study were performed by the same senior surgeon, but the percutaneous technique is relatively recent worldwide as well as in our institution.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Open vs. Percutaneous Pedicle Screw Insertion for Thoracolumbar Traumatic A3 and A4 AO Fractures - 18-Months Follow-Up

Romero

Vieira

Ancheschi³

2017

Arq Bras Neurocir

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 94%

Open vs. Percutaneous Pedicle Screw Insertion for Thoracolumbar Traumatic A3 and A4 AO Fractures - 18-Months Follow-Up

Romero

Vieira

Ancheschi³

2017

Arq Bras Neurocir

View full text Add to dashboard Cite

“…This still widespread method is, as already described above, associated with greater blood loss, longer immobilization time and considerable muscle trauma. The necessary disinsertion of the musculature leads to muscular denervation, atrophy and ischemia with corresponding dysfunction and increased postoperative pain [48,72]. Screw augmentation can also be performed to increase stability.…”

Section: Indicationsmentioning

confidence: 99%

Surgical and Non-surgical Treatment of Vertebral Fractures in Elderly

et al. 2019

View full text Add to dashboard Cite

Demographic development in Germany has led to an aging of the population. Particularly for these patients, osteoporosis-induced vertebral fractures represent a significant decrease in quality of life and level of activity. According to current guidelines, the initial treatment of stable osteoporotic vertebral fractures is conservative management with analgesic, anti-osteoporotic, physical therapy, and orthotic measures as first line options. Personal experience, however, suggests that patients benefit from timely surgical treatment through rapid improvement of pain symptoms and thus, more rapid mobilization. The poor bone quality of elderly patients presents the treating spine surgeon a challenge in achieving stable spinal fusion with or without support, for example, through augmentation. Minimally invasive procedures have increasingly established themselves for such purposes in recent years. With over 1000 fracture treatments in the last 3.5 years, we have developed a differentiated treatment concept depending on patient age and fracture morphology, which we would like to introduce. Unstable fractures with posterior edge involvement are stabilized from posterior with a percutaneous fixator. Patients over 60 years were treated percutaneously with a polyaxial screw system. Increased stability was achieved by PMMA cement augmentation of the fenestrated screws. In elderly patients with Magerl A3 fractures without neurologic deficit, the index vertebra is supplementally treated with kyphoplasty (hybrid treatment). In acute, stable osteoporotic vertebral fractures with severe pain despite analgesics, we perform kyphoplasty, which is possible even in high thoracic fractures to T3 with smaller balloons and thinner trocars. Vertebroplasty is another option in the lumbar and lower thoracic spine. Because of invasiveness, extended posterior–anterior correction procedures are generally avoided in this population, which has frequent multiple comorbidities.

show abstract

“…To circumvent these problem, minimal invasive technique has been developed. 55,56 The indications are as follows:…”

Section: Minimally Invasive Treatment Of Thoracolumbar Fracturementioning

confidence: 99%

Management of Thoracolumbar Fractures

Meena

Sharma

Chowdhury

2015

IJNS

View full text Add to dashboard Cite

Thoracolumbar region is the most commonly affected region of spine in trauma, but still no consensus exists on various aspects of its management. The management of thoracolumbar fractures has evolved considerably with time, but there are certain areas where there is still no consensus. Only few level I evidence are available to make any recommendation. This article reviews the current literature on evaluation, treatment, timing of surgery, choice of approach, and length of fusion.

show abstract

Minimally invasive posterior surgery for thoracolumbar fractures. New trends to decrease muscle damage

Cited by 23 publications

References 24 publications

Open vs. Percutaneous Pedicle Screw Insertion for Thoracolumbar Traumatic A3 and A4 AO Fractures - 18-Months Follow-Up

Open vs. Percutaneous Pedicle Screw Insertion for Thoracolumbar Traumatic A3 and A4 AO Fractures - 18-Months Follow-Up

Surgical and Non-surgical Treatment of Vertebral Fractures in Elderly

Management of Thoracolumbar Fractures

Contact Info

Product

Resources

About