Posterior internal fixation plus vertebral bone implantation under navigational aid for thoracolumbar fracture treatment

Zhou,Wei; Kong,Weiqing; Zhao,Bizhen; Fu,Yishan; Zhang,Tao; Xu,Jianguang

doi:10.3892/etm.2013.1087

Posterior internal fixation plus vertebral bone implantation under navigational aid for thoracolumbar fracture treatment

Authors:
- Wei Zhou
- Weiqing Kong
- Bizhen Zhao
- Yishan Fu
- Tao Zhang
- Jianguang Xu
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Affiliations: Department of Orthopaedics, The Sixth People's Hospital of Shanghai, Shanghai Jiaotong University, Shanghai 200233, P.R. China
Published online on: April 29, 2013 https://doi.org/10.3892/etm.2013.1087
Pages: 152-158

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Abstract

The aim of this study was to investigate the method of posterior thoracolumbar vertebral pedicle screw reduction and fixation combined with vertebral bone implantation via the affected vertebral body under navigational aid for the treatment of thoracolumbar fractures. The efficacy of the procedure was also measured. Between June 2005 and March 2011, posterior thoracolumbar vertebral pedicle screw reduction and fixation plus artificial bone implantation via the affected vertebral pedicle under navigational aid was used to treat 30 patients with thoracolumbar fractures, including 18 males and 12 females, ranging in age from 21 to 57 years. Compared with the values prior to surgery, intraspinal occupation, vertebral height ratio and Cobb angle at the follow-up were significantly improved. At the long-term follow-up, the postoperative Cobb angle loss was <1˚ and the anterior vertebral body height loss was <2 mm. Posterior thoracolumbar vertebral pedicle screw reduction and fixation combined with vertebral bone implantation via the affected vertebral body under navigational aid may increase the accuracy and safety of surgery, and it is an ideal method of internal implantation. Bone implantation via the affected vertebral body may increase vertebral stability.

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