The study of functional outcome in traumatic thoracolumbar spine fractures treated with Moss-Miami instrumentation

Abstract

Thoraco lumbar fractures are grave injuries of utmost concern. If left untreated may result in marked morbidity and disability to the patient. Most of the polytrauma patients suffer from spine fractures which in turn can be associated with neurological deficits which makes the treatment of the spine fractures an important entity. Hence the present study was undertaken to study efficacy, evaluate the clinical and radiographic results, to study the advantages, complications and to facilitate early mobilization of patients and thus helping easy nursing care of the patients in order to recreate a stable, pain free spinal column by using Moss-Miami (pedicular screw). This prospective study was undertaken in the department of orthopaedics KIMS hospital and research centre, Bangalore, conducted on 20 patients fulfilling the inclusion and exclusion criteria. This study was undertaken from December 2020 to June 2022. Patients were followed up at 6, 12 and 24 weeks for data collection. The mean age of the study group was 45.7 years. The most common vertebrae involved in this series were between T11-L2 to the extent up to 65%. Among all the subjects 75% were able to return to previous employment with some restriction 75% had occasional minimal pain with no need for medication. The results of this study demonstrate the superiority of pedicle screw-rod instrumentation as a treatment for vertebral fracture with very high statistical significance in restoration of vertebral body height, mean regional angle, mean anterior wedge angle and considerable amount of neurological healing.