PURPOSE: To evaluate the outcome of pure percutaneous fixation of unstable single level fractures at the thoraco-lumbar junction (A1 to B2 Magerl/AO Spine). METHOD: Neurological intact patients were included in a 2-year prospective study (follow-up 36 months). Two groups were considered: the group in which additional short bilateral screws in the fractured vertebra were placed was called lordorizing screw group (LSG), the other was called non lordorizing screw group (nLSG). Clinical outcome was evaluated using the SF-36, the Oswestry disability index and the recovery time needed to go back work. The following radiological parameters were also evaluated on the follow-up exams: the Mid-Sagittal Index, the Cobb's angle and the Sagittal Index. RESULTS: In the LSG, the correction values of MSI, Cobb's angle and SI were statistically significantly higher than in nLSG. CONCLUSION: When feasible we recommend a pure percutaneous short segment pedicle screw fixation adding a lordorizing scr

To evaluate the outcome of pure percutaneous fixation of unstable single level fractures at the thoraco-lumbar junction (A1 to B2 Magerl/AO Spine). Neurological intact patients were included in a 2-year prospective study (follow-up 36 months). Two groups were considered: the group in which additional short bilateral screws in the fractured vertebra were placed was called lordorizing screw group (LSG), the other was called non lordorizing screw group (nLSG). Clinical outcome was evaluated using the SF-36, the Oswestry disability index and the recovery time needed to go back work. The following radiological parameters were also evaluated on the follow-up exams: the Mid-Sagittal Index, the Cobb's angle and the Sagittal Index. In the LSG, the correction values of MSI, Cobb's angle and SI were statistically significantly higher than in nLSG. When feasible we recommend a pure percutaneous short segment pedicle screw fixation adding a lordorizing screw.

Pure percutaneous pedicle screw fixation without arthrodesis of 32 thoraco-lumbar fractures: clinical and radiological outcome with 36-month follow-up / Cimatti, Marco; Forcato, Stefano; Polli, FILIPPO MARIA; Miscusi, Massimo; Frati, Alessandro; Raco, Antonino. - In: EUROPEAN SPINE JOURNAL. - ISSN 0940-6719. - STAMPA. - 22:6(2013), pp. S925-S932. [10.1007/s00586-013-3016-x]

Pure percutaneous pedicle screw fixation without arthrodesis of 32 thoraco-lumbar fractures: clinical and radiological outcome with 36-month follow-up

CIMATTI, Marco;FORCATO, STEFANO;POLLI, FILIPPO MARIA;MISCUSI, MASSIMO;FRATI, ALESSANDRO;RACO, Antonino
2013

Abstract

PURPOSE: To evaluate the outcome of pure percutaneous fixation of unstable single level fractures at the thoraco-lumbar junction (A1 to B2 Magerl/AO Spine). METHOD: Neurological intact patients were included in a 2-year prospective study (follow-up 36 months). Two groups were considered: the group in which additional short bilateral screws in the fractured vertebra were placed was called lordorizing screw group (LSG), the other was called non lordorizing screw group (nLSG). Clinical outcome was evaluated using the SF-36, the Oswestry disability index and the recovery time needed to go back work. The following radiological parameters were also evaluated on the follow-up exams: the Mid-Sagittal Index, the Cobb's angle and the Sagittal Index. RESULTS: In the LSG, the correction values of MSI, Cobb's angle and SI were statistically significantly higher than in nLSG. CONCLUSION: When feasible we recommend a pure percutaneous short segment pedicle screw fixation adding a lordorizing scr
2013
To evaluate the outcome of pure percutaneous fixation of unstable single level fractures at the thoraco-lumbar junction (A1 to B2 Magerl/AO Spine). Neurological intact patients were included in a 2-year prospective study (follow-up 36 months). Two groups were considered: the group in which additional short bilateral screws in the fractured vertebra were placed was called lordorizing screw group (LSG), the other was called non lordorizing screw group (nLSG). Clinical outcome was evaluated using the SF-36, the Oswestry disability index and the recovery time needed to go back work. The following radiological parameters were also evaluated on the follow-up exams: the Mid-Sagittal Index, the Cobb's angle and the Sagittal Index. In the LSG, the correction values of MSI, Cobb's angle and SI were statistically significantly higher than in nLSG. When feasible we recommend a pure percutaneous short segment pedicle screw fixation adding a lordorizing screw.
thoraco-lumbar fracture; percutaneous pedicle screw fixation; additional screw; minimally invasive surgery
01 Pubblicazione su rivista::01a Articolo in rivista
Pure percutaneous pedicle screw fixation without arthrodesis of 32 thoraco-lumbar fractures: clinical and radiological outcome with 36-month follow-up / Cimatti, Marco; Forcato, Stefano; Polli, FILIPPO MARIA; Miscusi, Massimo; Frati, Alessandro; Raco, Antonino. - In: EUROPEAN SPINE JOURNAL. - ISSN 0940-6719. - STAMPA. - 22:6(2013), pp. S925-S932. [10.1007/s00586-013-3016-x]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/534111
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 13
  • Scopus 29
  • ???jsp.display-item.citation.isi??? 23
social impact