Categories
Change Password!
Reset Password!
This randomized controlled trial compared the efficacy of MPS fixation via the Wiltse method and percutaneous pedicle screw (PPS) fixation for the management of thoracolumbar burst fractures in young and middle-aged patients.
Thoracolumbar
burst fractures are high-energy vertebral injuries, which can be
normally treated non-surgically and in rare cases, surgery is the
option. Of the two known surgical treatments for these fractures, mini-open pedicle screw
(MPS) fixation via the Wiltse method had effective outcomes (surgical duration,
radiation exposure, facet joint violation, etc.) as comapared to percutaneous
pedicle screw fixation, as shown from this study.
This randomized controlled
trial compared the efficacy
of MPS fixation via the Wiltse method and percutaneous pedicle screw (PPS)
fixation for the management of thoracolumbar
burst fractures in young and middle-aged patients.
On the whole, 60 patients with thoracolumbar vertebrae fractures were divided into 2
groups: MPS group (30 patients with average age of 42.2±6.7 years) and PPS
group (30 patients with average age of 43.0±6.9 years). The clinical efficacy;
radiographic outcome and exposure; were distinguished between both the groups.
No substantial difference in the blood loss, hospital stay, postoperative VAS (Visual Analog scale) for back pain, and ODI (Oswestry Disability Index) was witnessed between both the groups. Compared to the PPS group, the vertebral body angle (VBA) and vertebral body height (VBH) were found to be remarkably better in the MPS group at the last follow-up.
Also, no substantial variation in the rate of accuracy of pedicle screw placement between the groups was depicted; however, PPS group had an elevated facet joint violation (FJV). A lower average radiation exposure dosage in the MPS group was found.
As concluded, both the
treatments- MPS fixation via the Wiltse approach
and PPS fixation were recognised as safe and effective in patients suffering
from single-segment thoracolumbar vertebral fractures. However, out of the two,
MPS fixation via Wiltse method seems to be a better option in view of the
surgical duration, radiation exposure, VBH, VBA and FJV, VBH at the last
follow-up.
World Neurosurgery
Comparison of clinical and radiological outcome between mini-open Wiltse approach and fluoroscopic-guided percutaneous pedicle screw placement: a randomized controlled trial
Peng Zou et al.
Comments (0)