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Percutaneous pedicle screw fixation plus kyphoplasty for thoracolumbar fractures A2, A3 and B2

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Abstract

Design

Retrospective cohort.

Purpose

The aim of this study is to evaluate the effectiveness of percutaneous short fixation (PSFx) plus kyphoplasty (BP) for thoracolumbar fractures.

Methods

Thirty-six consecutive selected patients, aged 59 ± 17 years, with fresh single thoracolumbar A2, A3, and B2 AO-type fracture, received PSFx plus BP. The primary outcomes pain, and vertebral body deformity; and the secondary outcomes screw malposition, facet violation, PMMA leakage, adjacent segment degeneration (ASD) and loss of correction were evaluated. The f/up was 31 ± 7 months.

Results

Pain and kyphosis decreased and vertebral body heights increased significantly postoperation. PMMA leakage occurred in five cases; 6 (4 %) screws were grades III malpositioned in relation to pedicle; facet violation occurred in 8 (5.5 %) facets; loss of kyphosis correction was 3.68°; ASD occurred in two cases; interfacet fusion in ten (28 %) patients; Three patients were reoperated for different reasons.

Conclusions

PSFx plus BP for thoracolumbar fractures reduces significantly spinal deformity and pain with few complications.

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Authors and Affiliations

  1. Orthopaedic Department General Hospital Patras, Patras, Greece

    Panagiotis Korovessis, Eva Mpountogianni & Vasilleios Syrimpeis

Authors
  1. Panagiotis Korovessis
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  2. Eva Mpountogianni
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  3. Vasilleios Syrimpeis
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Correspondence to Panagiotis Korovessis.

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Korovessis, P., Mpountogianni, E. & Syrimpeis, V. Percutaneous pedicle screw fixation plus kyphoplasty for thoracolumbar fractures A2, A3 and B2. Eur Spine J 26, 1492–1498 (2017). https://doi.org/10.1007/s00586-016-4743-6

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  • DOI: https://doi.org/10.1007/s00586-016-4743-6

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