Posterior pedicle screw fixation combined with transpedicular bone grafting for treatment of single-level thoracolumbar fractures with the aid of a vertebroplasty tool.

J Int Med Res

Department of Neurosurgery, 584206Jiangjin Central Hospital of Chongqing, Jiangjin Central Hospital of Chongqing, Number 725, Jiangzhou Avenue, Jiangjin District, Chongqing 402260, China.

Published: February 2022

Objective: This study was performed to assess the efficacy of a novel tool to assist transpedicular bone grafting in short-segment pedicle screw fixation combined with pedicle fixation at the level of the fractured vertebra (six-screw fixation).

Methods: We retrospectively analyzed 80 patients (40 in the control group and 40 in the tool-aided group) with single-level thoracolumbar fractures. Patients in the control group underwent traditional six-screw fixation combined with transpedicular bone grafting. In the tool-aided group, we introduced a novel vertebroplasty tool to assist transpedicular bone grafting. Basic information and related indicators were recorded.

Results: There were no significant differences in the patients' baseline characteristics or surgical outcomes between the control group and tool-aided group. Both traditional surgery and tool-aided surgery restored the height of the fractured vertebrae and decreased the Cobb angle, visual analog scale score, and Oswestry Disability Index. However, tool-aided surgery more effectively restored the height of the fractured vertebrae and reduced the visual analog scale score and Oswestry Disability Index than did traditional surgery.

Conclusion: Vertebroplasty tool-aided surgery facilitated more precise and successful grafting of bone into damaged vertebrae than did traditional surgery and therefore might be recommended for treating single-level thoracolumbar fractures.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891865PMC
http://dx.doi.org/10.1177/03000605221081290DOI Listing

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