Authored by Bahaa Ali kornah
Introduction: The aim of treatment of spinal fractures is to
resorted stability. Spine fractures are serious injuries can lead to
neurological complications. The surgical technique can be either through
posterior midline incision or paraspinal posterior open
approaches or Percutaneous. The goal of this study is to evaluate the
effectiveness of Mini access approach for treatment of dorsolumbar
fractures by mini open surgical using ordinary pedicle screw fixation.
This study involves Patients of acute traumatic single
level dorso-lumbar spine fractures requiring surgical intervention.
Thirty two (22 male, 10 female), age range 17-52 years (mean
31.1 ± 7.9 yrs) with dorso-lumbar fractures (D12:8, L1:17, L2:4, L3:3)
with TLICS score>6 were studied (Feb 2009-Feb 18). Total
of 128 screws were used of which 3 screws were mal positioned (2.3%).
Open conversion was done in two cases (6.25%) due to
difficulty in screw positioning.
Result: No patient had post-operative neurological deterioration. Operative time (minutes) 65.0±23.2. The average blood loss is 94ml Fluoroscopy time 5.2±2(seconds). Postoperative hospital stay (days) 3.1±1.8 days. The follow-up period an average of 10 months. The Accuracy rate of screws placement Type I: position acceptable in 108 screws. In 16 screws were classified as Type II: placement unacceptable. In 3 screws were classified as Type III: screws that are causing neurovascular injury) all cases causing radicular pain).
Conclusion: We conclude that Mini access Spine surgery for pedicle screws fixation is a safe, reliable, cost effective technique with favorable results in acute polytrauma cases requiring standalone ligamentotaxis. It is cost effective, minimal soft tissue dissection with short hospital stay. The authors believe that the data support its use and that this technique may be applicable for cases not needs spinal decompression, Mini access spinal technologies enable surgeons to achieve the same surgical objectives as with a traditional, open procedure.
Result: No patient had post-operative neurological deterioration. Operative time (minutes) 65.0±23.2. The average blood loss is 94ml Fluoroscopy time 5.2±2(seconds). Postoperative hospital stay (days) 3.1±1.8 days. The follow-up period an average of 10 months. The Accuracy rate of screws placement Type I: position acceptable in 108 screws. In 16 screws were classified as Type II: placement unacceptable. In 3 screws were classified as Type III: screws that are causing neurovascular injury) all cases causing radicular pain).
Conclusion: We conclude that Mini access Spine surgery for pedicle screws fixation is a safe, reliable, cost effective technique with favorable results in acute polytrauma cases requiring standalone ligamentotaxis. It is cost effective, minimal soft tissue dissection with short hospital stay. The authors believe that the data support its use and that this technique may be applicable for cases not needs spinal decompression, Mini access spinal technologies enable surgeons to achieve the same surgical objectives as with a traditional, open procedure.
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