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Volume 3
Pulsus Journal of Surgical Research
Osteoporosis 2019
March 13-14, 2019
Osteoporosis, Arthritis and Musculoskeletal Disorders
March 13-14, 2019, London, UK
12
th
International Conference on
Short segment fixation of thoracolumbar fractures with pedicle fixation at the level of the fracture
Fabrizio Marzano
University of Perugia, Italy
T
horacolumbar fractures are very frequent injuries, for both anatomical and biomechanical reasons. The most appropriate surgical
treatment is still debatable. However, the main objectives are generally the restoration of segmental stability, correction of the
deformity, decompression and protection of the neurological structures, and obtainment of rapid clinical–functional improvements.
The purpose of this study was to evaluate the efficacy and safety of thoracolumbar fracture fixation performed with short segment
posterior fixation and insertion of undersized screws inside the fractured vertebra. A prospective study was conducted among 80
patients that were treated after sustaining a thoracolumbar fracture from January 2010 to December 2017. The site of the fracture was
dorsal in 35 cases, lumbar in 40 cases and multifocal in 5 cases.58 patients were male and 22 females, with a mean age at diagnosis of
49.8 years. 42 patients were treated surgically using the studied technique (10 dorsal fractures and 32 lumbar). 38 patients were treated
conservatively. At the clinical and instrumental follow-up, during a post-op period from a minimum of 6 months to a maximum
of 18 months, the consolidation of the fracture was successfully achieved in all cases. In no case was there any worsening of the
neurological situation or instrumental failure. In the presence of vertebral fractures of the thoracolumbar tract without neurological
damage, the posterior surgical treatment with short segment construct and insertion of undersized screw inside the fractured vertebra
without arthrodesis (fusion), permits consolidation of the fracture and allows a rapid functional recovery, with minimal incidence of
complications.
thepeace@libero.itPulsus J Surg Res, Volume 3