Percutaneous management of thoracolumbar burst fractures: Evolution of techniques and strategy

Abstract

Level IV. Retrospective observational study.

Posterior fixation of thoracolumbar burst fractures: Is it possible to protect one segment in the lumbar region?

“…Patient and occupational exposure to radiation remains an issue, requiring adequate surgeon education in order to minimise the need for fluoroscopy use [28]. Fusion with minimal posterior surgery is not possible, which necessitates late instrumentation removal [29]. …”

Non-operative vs. percutaneous stabilization in Magerl’s A1 or A2 thoracolumbar spine fracture in adults: is it really advantageous for a good alignment of the spine? Preliminary data from a prospective study

“…In 2011, Blondel et al [9] presented in their retrospective observational study. The results of this study support the growing interest in minimally invasive techniques in management of spinal injuries without neurological deficit.…”

Percutaneous short fixation vs conservative treatment: comparative analysis of clinical and radiological outcome for A.3 burst fractures of thoraco-lumbar junction and lumbar spine

“…In the literature prognostic factors described that may point to a failure of conservative treatment are not well [3-5, 7, 12]. Blondel et al [2] showed in the 2011, analyzing a cohort of 29 patients, that the surgical treatment with percutaneous kyphoplasty is a good option both in terms of symptoms and in term of correction of the kyphosis, in young and adult patients; From our point of view kyphoplasty is not the treatment of choice in recent fractures because the bone heals spontaneously when it is properly reduced, due to the physiological properties of elastic resistance of the trabecular bone of the vertebra, which the cement cannot mimic. Therefore, reserve this treatment for inveterate fractures.…”