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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http://dx.doi.org/10.1177/03000605221081290 | DOI Listing |
Background: Fractures of thoracolumbar spine in the field of ankylosing diseases such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) can by surgically treated with miniinvasive posterior transpedicular fixation. The exact length of implant is the subject of several studies. In our study, we retrospectively evaluated the treatment of B3 fractures of the ankylosed thoracolumbar spine with use a shorter versus longer implant, always with 8 screws.
View Article and Find Full Text PDFJ Pediatr Orthop
December 2024
Department of Orthopaedic Surgery and Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu.
Objective: Proximal junctional kyphosis (PJK) is a prevalent postoperative complication after posterior hemivertebra (HV) resection. Previous research has demonstrated a strong correlation between the development of PJK and reduced bone mineral density. The vertebral bone quality (VBQ) score, derived from magnetic resonance imaging, is considered a predictive and evaluative tool for bone mineral density.
View Article and Find Full Text PDFZhongguo Gu Shang
November 2024
Zhengzhou Orthopaedics Hospital, Zhengzhou 450052, Henan, China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
November 2024
Department of Spine Surgery Center, the Second Affiliated Hospital, Chongqing Medical University, Chongqing, 400010, P. R. China.
Tech Vasc Interv Radiol
September 2024
Division of Interventional Radiology, Olean General Hospital, Upper Allegheny Health System. Olean, NY.
Vertebral augmentation consists of minimally invasive techniques indicated in the treatment of vertebral compression fractures (VCFs). These compression fractures cause vertebral body height loss and consequent significant pain and are most frequently the result of osteoporosis, cancer metastasis, or trauma. The deleterious effects of VCFs often compound, as greater load-bearing stress is transferred to the remaining healthy vertebrae.
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