Abstract
One of the most popular procedures for treating the unstable thoracolumbar fracture is the short segment pedicle screw fixation. Due to lack of adequate neurological improvement, progressive kyphosis and hardware failure, the efficacy of different methods remain debatable. One hundred patients of thoracolumbar burst fractures were managed from January 2010 to December 2014 by transforaminal thoracolumbar interbody fusion and short-segment pedicle screw stabilization. Each patient was followed-up for a minimum of 2 years. Bony fusion was done in each patient in between two vertebra along with transpedicular fixation. Follow-up radiological images showed good reduction and the fusion of the vertebral body was good. Excellent neurological improvement of the Frankel grade C and D was seen in 81 patients. Eight patients had grade B, improvement which was not satisfactory. Fifteen patients with no paraplegia/hemiplegia on admission remained neurologically intact. For the management of thoracolumbar burst fractures short segment posterior transpedicular fixation with bone graft is very economic and safe procedure with good neurological improvement.
Highlights
Management of thoracolumbar fracture still remains controversial.[1]
The patient suffers from the unstable spine and neurological deficit which need for surgical interventions
Kyphosis and hardware failure problems can be solved by the bone grafting, balloon-assisted vertebroplasty and corpectomy and cage placement.[3]
Summary
Management of thoracolumbar fracture still remains controversial.[1]. The patient suffers from the unstable spine and neurological deficit which need for surgical interventions. The most popular operative procedure for the unstable spine is the short-segment posterior transpedicular fixations and posterior bony fusions. Neurological recovery after this surgery is excellent but progressive kyphosis, persistence of neurological deficit and hardware failure remain a concern.[2] Kyphosis and hardware failure problems can be solved by the bone grafting, balloon-assisted vertebroplasty and corpectomy and cage placement.[3] In this study, a consecutive series of 100 thoracolumbar burst fractures with short segment transpedicular screw fixation (one level above and one level below to the fracture) along with posterior thoracolumbar interbody fusion were evaluated the degree of improvement of neurological deficit along with kyphosis correction
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