Posterior endoscopic (X tube) pedicle screw fixation for thoracolumbar fractures.docVIP

 PAGE \* MERGEFORMAT 10 Posterior endoscopic (X tube) pedicle screw fixation for thoracolumbar fractures Of: a good source of Liu, Jian-Ming Huang, Lin heap, Chen Fengrong, Jane Kennedy country, Gong Hao, Xu Tianrui [Abstract] [Objective] To investigate the minimally invasive treatment of thoracic and lumbar fractures of the indications and preliminary experience. [Methods] 21 patients with simple fracture, not associated with nerve injury, laminectomy without line damage, in the C- downstream arm X-ray machine positioning upper and lower thoracic and lumbar fracture of pedicle screw fixation surgery using spinous process of axis 2 cm lateral to each make a long incision 3 cm, were fixed and reset the 4 small incisions to complete. [Results] 21 patients underwent surgery 12 to 18 months (mean 14 months) follow-up, X ray showed vertebral fracture reduction and fixation are good, good functional recovery in patients with lower back. [Conclusion] Posterior endoscopic next (X tube) thoracolumbar pedicle screw fracture reduction and internal fixation compared with traditional surgery, technical operations, is not too difficult for a simple fracture, not associated with nerve injury, decompression laminectomy without line patients with a surgical incision, less bleeding, faster recovery and so on. [Keywords:] fracture, internal fixation, endoscopy, minimally invasive spine surgery Abstract: [Objective] To investigate the clinical effects of the treatment of thoracolurnbar fracture with pedicle screw system under endoscopy assisted X tube system. [Method] Twenty one cases of pure thracolumbar fracture without neural impairment were treated with pedicle screw system under endoscopy assisted X tube system.With the image intensifier, the pedicle based in the affected segments were localized and exposed through 4 small incisions (3cm). Transpedicular fixation and reduction by endoscopy assisted X tube system were performed through the 4 small incisions. [Resul