A retrospective comparative study of clinical efficacy of percutaneous short segment pedicle screw fixation with or without screwing of the fractured vertebra with O-arm navigation

BMC Musculoskeletal Disorders

Zixiang Liu¹  Xi Hua¹  Kangwu Chen¹  Peng Peng¹  Tian Xu¹  Xiaofeng Shao¹  Haiqing Mao¹  Xiaoyu Zhu¹  Zhonglai Qian¹  Peng Yang¹  Huilin Yang¹ 

[1] Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, 215006, Suzhou, Jiangsu, China;

关键词: O-arm;    Thoracolumbar fractures;    Injured vertebrae;    Fracture fixation;    Percutaneous pedicle screws;   

DOI  :  10.1186/s12891-022-05069-3

来源: Springer

【 摘 要 】

ObjectiveTo retrospectively analyze the short and long-term efficacies of O-arm-navigated percutaneous short segment pedicle screw fixation, with or without screwing of the fractured vertebra.MethodsA total of 42 patients who underwent O-arm-navigated percutaneous short segment pedicle screw fixation for the treatment of thoracolumbar fractures from February 2015 to December 2018 were selected for analysis. The patients were divided into two groups according to the surgical intervention they received: Group A received percutaneous short segment pedicle screw fixation with screwing of the fractured vertebra and Group B received percutaneous short segment pedicle screw fixation without screwing of the fractured vertebra. Radiographic analysis included Cobb angles and percentage of anterior vertebral height (AVH%). Clinical functional outcomes were assessed using the visual analog scale (VAS) for back pain and the oswestry disability index (ODI) scores.ResultsNo significant differences were observed in the operation time and intraoperative blood loss between the two groups (P > 0.05). The length of incision was statistically significantly different between the two groups (P < 0.05). There was no significant difference in Cobb angle and AVH% between the two groups before and after the surgery (P > 0.05). However, the Cobb angle and AVH% were both significantly larger in Group A than Group B at the final follow-up (P < 0.05). In terms of clinical outcomes, there were no statistically significant differences in VAS and ODI scores between the two groups (P > 0.05).ConclusionIn the short term, both minimally invasive treatments were safe and effective in treating thoracolumbar fracture. Although there was significant difference between the two groups in Cobb angle and vertebral body height at the last follow-up, the difference was small. Therefore, these specific parameters will be an important outcome measure in further investigations.

【 授权许可】

CC BY