Percutaneous Pedicle Screw Fixation for Neurologic Intact Thoracolumbar Burst Fractures.

المقال يركز على فعالية تثبيت براغي العمود الفقري عبر الجلد لعلاج كسور الظهر القطنية الصدرية التي لا تعاني من أي إصابة عصبية. أُجري البحث في مستشفى هلمية العسكري في القاهرة، مصر، وشمل 36 مريضًا بالغًا، معظمهم من الذكور، تتراوح أعمارهم بين 19 و58 عامًا. أظهرت النتائج نجاح العلاج، مع تحسن كبير في زاوية الحدبة وفقدان ارتفاع جسم الفقرة بعد الجراحة، مما يشير إلى أن التثبيت عبر الجلد قد يكون بديلاً قابلاً للإدارة لعلاج كسور AO من النوع A3 التي تحمل درجة تحميل تصل إلى ست درجات أو أقل. يبرز البحث الفوائد المحتملة للتقنيات الأقل تدخلاً في تقليل المضاعفات المرتبطة بأساليب الجراحة التقليدية. [Extracted from the article]

Background: Thoracolumbar burst fractures are the most prevalent spinal injury. Nevertheless, the treatment of unstable burst fractures of thoracolumbar remains a topic of controversy, particularly for cases who do not have a neurologic deficit. Objective: This study aimed to estimate the effectiveness of percutaneous fixation in thoracolumbar fractures. Patients and methods thirty-six adult cases have been included in this investigation from January 2018 to December 2021. There were thirty-one males and five females. The age of admission varied from nineteen to fifty-eight years. Results: All cases have been successfully treated with percutaneous minimal invasive techniques. The amount of blood that was lost during the operation ranged from fifty to one hundred fifty milliliters. The duration of the cases' stays in the hospital varied anywhere from three to nine days. All cases have been monitored for a duration of time that spanned from twelve to thirty months. The average kyphotic angle before operation was 6.8 to 33.5 degrees, and it was promptly enhanced following the operation, resulting in an average correction of deformity of 9.1 degrees. The kyphotic angle was 7.6 degrees at the final follow-up, with a range from 5.9 to 17.1 degrees. The average percentage of height of the vertebral body loss before operation was 42.2% (ranging from thirty-four to sixty-three percent), and it was promptly decreased to 8.3% (ranged from zero to 23.5 percent) following the operation. 10.2% was the percentage of loss of vertebral body height (VBH) that has been seen at the last monitoring, with the range being from zero percent to thirtytwo percent. Conclusion: For management of thoracolumbar, AO type, A3 fractures with a load-sharing score of six or lower, percutaneous fixation may serve as an alternative procedure. [ABSTRACT FROM AUTHOR]

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