Clinical Efficacy of Minimally Invasive Transpedicular Stabilization for Thoracic and Lumbar Vertebrae Fractures

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Abstract

Clinical efficacy of percutaneous transpedicular stabilization for the treatment of patients with A2 and A3 traumatic compression thoracic and lumbar fractures was performed. The study included 25 patients with mean age 34 (29-42) years. The male-female ratio was 2:1. Severity of pain syndrome by analog visual scale (VAS), quality of life by Oswestry Disability Index (ODI), duration of surgery and blood loss, patient outcome satisfaction by MacNab's criteria and rate of complications were assessed. Mean duration of surgery made up 120 (90-140) min, median blood loss - 50 (30-80) ml. Marked postoperative reduction of pain syndrome (p<0.01) was achieved and preserved within the 1st observation year. One year after surgery most of the patients evaluated the treatment efficacy as excellent as good by MacNab's criteria. Effective stabilization of the injured segment, reduction of posttraumatic kyphotic deformity and minimal operative trauma promote the reduction of temporary disability as well as the adequate social and labor rehabilitation.

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About the authors

V. A Byval’tsev

Irkutsk State Medical University

Email: byval75vadim@yandex.ru

A. A Kalinin

Irkutsk State Medical University

A. E Budaev

Irkutsk State Medical University

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