Abstract
Introduction
Unstable spine fractures commonly occur in the setting of a poly-traumatized patients. The aim of management is to balance the need for early stabilization with quick patient's mobilization and reduction of additional trauma due to the major open surgery.
Material and Methods
To assess the operative data, clinical and radiological outcomes of patients undergoing minimally invasive management of Thoraco-lumbar fracture.
Design
Retrospective review of prospectively collected data.
Methods
101 patients underwent minimally invasive percutaneous fixation of Thoraco-lumbar fractures percutaneous fixation with or without vertebroplasty. All patients were post-operatively either neurologically intact or improved. There were 60 males and 41 females with an average age of 44 years.
Results
The mean follow-up was 18 months (3–44 months). The mean operative time was 100 minutes (range 35–240 minutes) and the mean blood loss was < 100mL. VAS was significantly improved from 8.7 to 1 at last follow-up. No patient worsened his or her neurological condition postoperatively.
Conclusion
Minimally invasive percutaneous fixation of Thoraco-lumbar fractures in poly-traumatized patients appears to be a safe and effective technique to manage Thoraco-lumbar fractures without neurological impairment and allowing early rehabilitation.