PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY

INSTRUMENTAÇÃO PERCUTÂNEA SEM ARTRODESE EM FRATURAS TORACOLOMBARES DO TIPO EXPLOSÃO (A3/A4, B): ESTUDO RETROSPECTIVO

INSTRUMENTACIÓN PERCUTÁNEA SIN ARTRODESIS EN FRACTURAS TORACOLUMBARES DEL TIPO EXPLOSIÓN (A3/A4, B): ESTUDIO RETROSPECTIVO

ABSTRACT

Objective:

There is still no consensus as to the treatment options for thoracolumbar burst fractures, although these fractures are widely described in the literature. The aim of this study was to evaluate the clinical and radiological outcomes of percutaneous instrumentation without arthrodesis as a method of fixation of these lesions.

Methods:

This retrospective, cross-sectional study evaluated 16 patients by measuring regional kyphosis using the Cobb method and the scores for quality of life and return to work (Oswestry Disability Index, VAS, SF-36 and Denis).

Results:

Six months after surgical treatment, 62.5% of all patients showed minimal disability according to the Oswestry Disability Index, maintenance of regional kyphosis correction and no synthesis failure.

Conclusions:

The clinical and radiological outcomes of the study suggest that minimally invasive fixation is indicated for the treatment of thoracolumbar burst fractures. Level of evidence IV; Observational study: retrospective cohort.

Keywords:
Spine; Spinal Fractures; Spinal Injuries; Fracture Fixation