gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Article

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Percutaneous pedicle screw fixation of the thoraco-lumbar burst fractures

Meeting Abstract

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  • corresponding author M. Allaoui - Clinique de Neurochirurgie, CHRU de Lille
  • M. Baroncini - Clinique de Neurochirurgie, CHRU de Lille
  • A. Tyberghien - Clinique de Neurochirurgie, CHRU de Lille
  • G. Abilahoud - Clinique de Neurochirurgie, CHRU de Lille
  • R. Assaker - Clinique de Neurochirurgie, CHRU de Lille

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc10.05.-02.05

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0104.shtml

Published: May 4, 2005

© 2005 Allaoui et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective

To introduce the technique of minimally invasive percutaneous pedicle screw osteosynthesis using Sextant system. and report our clinical experience in spine injury.

Methods

Between January 2003 to December 2004, 27 patients with thoraco-lumbar burst fracture were treated using Sextant system. The pedicle screws were put through new designed instrumentation, using the "C" arm fluoroscopic guidance and inserted percutaneously. 17 patients underwent only this procedure without anterior or posterior arthrodesis. For this group, peri-operative parameters and the index of image were analysed and compared with the treatment of traditional open pedicle screw osteosynthesis reported in the literature.

Results

The Sextant system allowed small incision, less paraspinous muscles injury, less blood loss, and no drain. Pedicle srew rod fixation was safety. Two srew violations of pedicles without neurologic damage needed replacement by the same minimally procedure. Postoperative pain was reduced with no intravenous narcotic use after 3 days. Average length of stay was 8.9 days. Clinical and radiological outcomes for 3 and 6 months follow-up periods showed no late complication, no significative loss of correction compared to "gold standard" ostéosynthesis.

Conclusions

Minimally invasive percutaneous pedicle screws-rod osteosynthesis has the advantages to be less aggressive in terms of bleeding, muscle injury, postoperative pain. The hospital stay is reduced. But correction of the traumatic kyphosis and bone grafting is not possible by this surgical technique alone.