Journal of Orthopedics and Joint Surgery

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VOLUME 5 , ISSUE 2 ( July-December, 2023 ) > List of Articles


Does Intermediate Pedicle Screw Fixation in Thoracolumbar Fractures Provide a Better Functional Outcome? A Prospective Study

Pavalan Louis, Marimuthu Subramanian, L David

Keywords : Postoperative pain, Surgery, Trauma

Citation Information : Louis P, Subramanian M, David L. Does Intermediate Pedicle Screw Fixation in Thoracolumbar Fractures Provide a Better Functional Outcome? A Prospective Study. 2023; 5 (2):92-95.

DOI: 10.5005/jojs-10079-1119

License: CC BY-NC 4.0

Published Online: 07-07-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: The preferred treatment of choice in patients with unstable spine injuries and neurological deficits is posterior stabilization. Instrumentation is usually done with pedicle screws and rods, additionally; pedicle screws can also be inserted in fractured vertebrae. This research comprised 30 patients involving fixation additionally in fractured vertebra- intermediate pedicle screw fixation. This study is to prove that patients operated on with additional intermediate pedicle screws have a better postoperative functional outcome. Materials and methods: This is a study of 30 patients with thoracolumbar fractures, who were admitted to Thoothukudi Medical College, Thoothukudi, Tamil Nadu, India. Patients were resuscitated and operated on after radiological and clinical evaluation. Results: Patients were analyzed based on demographic criteria preoperatively and postoperatively by visual analog scale (VAS), Oswestry Disability Index (ODI), and Denis pain score. Conclusion: Patients operated on using intermediate pedicle screw fixation showed a good postoperative outcome.

  1. Leucht P, Fischer K, Muhr G, et al. Epidemiology of traumatic spine fractures. Injury 2009;40(2):166–172. DOI: 10.1016/j.injury.2008.06.040
  2. Tian Y, Zhu Y, Yin B, et al. Age- and gender-specific clinical characteristics of acute adult spine fractures in China. Int Orthop 2016;40(2):347–353. DOI: 10.1007/s00264-015-3025-y
  3. Siebenga J, Leferink VJ, Segers MJ, et al. Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of operative versus nonsurgical treatment. Spine (Phila Pa 1976) 2006;31(25):2881–2890. DOI: 10.1097/01.brs.0000247804.91869.1e
  4. Ni WF, Huang YX, Chi YL, et al. Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures. J Spinal Disord Tech 2010;23(8):530–537. DOI: 10.1097/BSD.0b013e3181c72d4c
  5. Wood KB, Bohn D, Mehbod A. Anterior versus posterior treatment of stable thoracolumbar burst fractures without neurologic deficit: a prospective, randomized study. J Spinal Disord Tech 2005; 18 (Supp L):S15–S23. DOI: 10.1097/01.bsd.0000132287.65702.8a
  6. Mclain RF, Sparling E, Benson DR. Early failure of short-segment pedicle instrumentation for thoracolumbar fractures. a preliminary report. J Bone Joint Surg Am 1993;75(2):162–167. DOI: 10.2106/00004623-199302000-00002
  7. Scholl BM, Theiss SM, Kirkpatrick JS. Short segment fixation of thoracolumbar burst fractures. Orthopedics 2006;29(8):703–708. DOI: 10.3928/01477447-20060801-14
  8. Dick JC, Jones MP, Zdeblick TA, et al. A Biomechanical comparison evaluating the use of intermediate screws and cross-linkage in lumbar pedicle fixation. J Spinal Disord 1994;7(5):402–407.
  9. Farrokhi MR, Razmkon A, Maghami Z, et al. Inclusion of the fracture level in short segment fixation of thoracolumbar fractures. Eur Spine J 2010;19(10):1651–1656. DOI: 10.1007/s00586-010-1449-z
  10. Wang H, Zhou Y, Li C, et al. Comparison of open versus percutaneous pedicle screw fixation using the sextant system in the treatment of traumatic thoracolumbar fractures. Clin Spine Surg 2014;30(3): E239–E246. DOI: 10.1097/BSD.0000000000000135
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