AI Article Synopsis
- A series of four elderly women (ages 75-85) with type A3.1.2 unstable thoracolumbar fractures were treated using a less invasive method combining third-generation kyphoplasty with single-level screw fixation.
- Traditional methods usually involve more extensive fixation with significant rigidity, but the new approach offers better mobility and stability.
- This combination treatment might yield improved outcomes compared to traditional fixation systems for these specific types of vertebral fractures.
Article Abstract
We present a series of cases of type A3.1.2 unstable fractures of the thoracolumbar hinge treated percutaneously with third-generation kyphoplasty and only one next level percutaneous screws. Four women aged 75 to 85 years with thoracolumbar vertebral fractures, classified as type A.3.1.2, were treated with Precept® monosegmental percutaneous fixation and the third-generation SpineJack® augmentation system. The traditional treatment of type A3 unstable vertebral wedging fractures is performed with transpedicular fixation of two or more levels adjacent to the fracture causing great rigidity. Recently, the concept of bridge fixation combining one segment intrapedicular fixation with kyphoplasty has emerged as a more stable and less invasive system that allows greater mobility in this type of fractures. The combination of third-generation kyphoplasty and monosegmental bridge fixation may improve results to other fixation systems in type A3 vertebral fractures.
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| http://dx.doi.org/10.2478/folmed-2018-0011 | DOI Listing |
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