Improved percutaneous pedicle screw fixation (mMIPPSO) treatment of thoracolumbar fractures without neurological disorders.docVIP

 PAGE \* MERGEFORMAT 13 Improved percutaneous pedicle screw fixation (mMIPPSO) treatment of thoracolumbar fractures without neurological disorders Of: Xuehua Ming, Tu Yi-hui, Choi Min-Wei, Yang Anli [Abstract] [Objective] To investigate the improvement of minimally invasive percutaneous pedicle screw fixation (mMIPPSO treatment of non-neurological disorders thoracolumbar compression fracture of the feasibility and efficacy. [Method] From June 2005 to 2007 6 month, choose the 12 patients without neurological symptoms thoracolumbar compression fracture, without decompression of the patients in the C-arm X-ray machine guided by modified surgical instruments, for 4 1 ~ 1.5 cm-long longitudinal small incision, complete pedicle screw placement. and with the traditional incision in the same period 18 cases of pedicle screw fixation in patients compared perioperative parameters, image index, visual analog scale (VAS), Oswestry under low back pain score (ODI). [Results] All patients received a complete follow-up, follow-up time is 8 to 25 months, an average of 13.2 months. Minimally invasive percutaneous group than in the group not only to traditional open surgery, hospitalization time was shortened and in blood loss, postoperative wound drainage were significantly reduced (P lt;0.01.2 patients in the postoperative kyphosis Cobb’s own angle, anterior vertebral height, disc space height were significantly higher than the preoperative recovery (P lt;0.01, while postoperative VAS score, ODI disability index decreased significantly compared with the preoperative (P lt;0.01.2 group, no significant difference in healing time (P lt;0.05). [Conclusion] The modified minimally invasive percutaneous pedicle screw fixation of the root operation is relatively simple, with less trauma, less bleeding, shorter operative time, rapid postoperative recovery, such as the recent advantages, but long-term effect needs further follow-up. [Keywords:] and percutaneous fixation, pedicle