Posterior unilateral approach with 270 degrees spinal canal decompression and three-column reconstruction using double titanium mesh cage for thoracic and lumbar burst fractures

作者全名:"Shi, Lei; Ge, Qi-jun; Cheng, Yun; Lin, Lu; Yu, Qing-Shuai; Cheng, Si; Chen, Xiao-Lin; Shen, Hong-Quan; Chen, Fu; Yan, Zheng-jian; Wang, Yang; Chu, Lei; Ke, Zhen-Yong"

作者地址:"[Shi, Lei; Ge, Qi-jun; Cheng, Yun; Lin, Lu; Yu, Qing-Shuai; Cheng, Si; Chen, Xiao-Lin; Chen, Fu; Yan, Zheng-jian; Wang, Yang; Chu, Lei; Ke, Zhen-Yong] Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, Chongqing, Peoples R China; [Shi, Lei; Ge, Qi-jun; Cheng, Yun; Lin, Lu; Yu, Qing-Shuai; Cheng, Si; Chen, Xiao-Lin; Chen, Fu; Yan, Zheng-jian; Wang, Yang; Chu, Lei; Ke, Zhen-Yong] Geriatr Clin Res Ctr Chongqing, Chongqing, Peoples R China; [Shen, Hong-Quan] Jiangjin Cent Hosp, Chongqing, Peoples R China"

通信作者:"Wang, Y; Chu, L; Ke, ZY (通讯作者),Chongqing Med Univ, Affiliated Hosp 2, Dept Spine Surg, Chongqing, Peoples R China.; Wang, Y; Chu, L; Ke, ZY (通讯作者),Geriatr Clin Res Ctr Chongqing, Chongqing, Peoples R China."

来源:FRONTIERS IN SURGERY

ESI学科分类: 

WOS号:WOS:000917829200001

JCR分区:Q2

影响因子:1.8

年份:2023

卷号:9

期号: 

开始页: 

结束页: 

文献类型:Article

关键词:spinal canal decompression; three-column reconstruction; double titanium mesh cage; posterior approach; thoracic and lumbar burst fracture

摘要:"ObjectiveTo evaluate the clinical effects of the posterior unilateral approach with 270 degrees spinal canal decompression and three-column reconstruction using double titanium mesh cage (TMC) for thoracic and lumbar burst fractures. Materials and methodsFrom May 2013 to May 2018, 27 patients with single-level thoracic and lumbar burst fractures were enrolled. Every patient was followed for at least 18 months. Demographic data, neurologic status, back pain, canal compromise, anterior body compression, operative time, estimated blood loss and surgical-related complications were evaluated. Radiographs were reviewed to assess deformity correction, anterior body height correction, bony fusion and TMC subsidence. ResultsThe average preoperative percentages of canal compromise and anterior body height compression were 58.4% and 50.5%, respectively. All surgeries were successfully completed in one phase, the operative time was 151.5 +/- 25.5 min (range: 115-220 min), the estimated blood loss was 590.7 +/- 169.9 ml (range: 400-1,000 ml). Neurological function recovery was significantly improved except for 3 grade A patients. The preoperative visual analog scale (VAS) scores for back pain were significantly decreased compared with the values at the last follow-up (P = 0.000). The correct deformity angle was 12.4 +/- 4.7 degrees (range: 3.9-23.3 degrees), and the anterior body height recovery was 96.7%. The TMC subsidence at the last follow-up was 1.3 +/- 0.7 mm (range: 0.3-3.1 mm). Bony fusion was achieved in all patients. ConclusionThe posterior unilateral approach with 270 degrees spinal canal decompression and three-column reconstruction using double TMC is a clinically feasible, safe and alternative treatment for thoracic and lumbar burst fractures."

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