Posterior short segment pedicle screw fixation for the treatment of thoracolumbar fracture.

Content Provider	Europe PMC
Author	Aoui, Mourad Sahnoun, Nizar Abid, Mohamed Maatoug, Mahdi Hsairi, Majdi Hentati, Yosr Keskes, Hassib
Copyright Year	2020
Abstract	The choice of the type of stabilization device in the osteosynthesis of dorso-lumbar spine fractures remains a subject of controversy. The present study aims to evaluate the efficiency of short segment in patients suffering post-traumatic thoracolumbar fractures. This study was conducted in the Department of Orthopedic Surgery and Traumatology of the Habib Bourguiba University Hospital, Sfax, Tunisia. All our patients had a spinal osteosynthesis via the posterior approach with a short segment pedicle screw fixation. We established a record of the pre and post-operative data, the functional results in the post-operative stage during the follow-up period and in retrospect according to the Denis Pain Scale, as well as the Oswestry score. The correction was evaluated by determining the relative gain and loss at the last period of retrospect: vertebral kyphosis, regional kyphosis, Gardner Segment Kyphotic Deformity (GSKD), and computed tomography (CT) scan in retrospect to check the quality of the arthrodesis. The average Oswestry score was 14%. Twenty-nine patients had an Oswestry score ≤40%. The relative gain obtained postoperatively was 57.3% for vertebral kyphosis, 67.2% for regional kyphosis and 71.3% for Gardner kyphosis deformity; while the loss of correction at the last follow-up was 0.6° for vertebral kyphosis, 1.5° for regional kyphosis and 0.9° for GSKD. No cases of non-union were reported. The short segment fixation makes it possible to limit operating time, the abundance of bleeding and the aggression of the soft tissues.
Journal	The Pan African Medical Journal
Volume Number	35
PubMed Central reference number	PMC7320785
PubMed reference number	32637000
e-ISSN	19378688
DOI	10.11604/pamj.2020.35.102.21540
Language	English
Publisher	The African Field Epidemiology Network
Publisher Date	2020-04-07
Access Restriction	Open
Rights License	The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. © Mourad Aoui et al.
Subject Keyword	Thoracolumbar fracture fixation instrumentation short segment osteosynthesis
Content Type	Text
Resource Type	Article
Subject	Medicine