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Dr. Ahmed M. Seleem :: Publications:

Title:
Short-Segment Transpedicular Screw Fixation of Unstable Traumatic Thoracolumbar Spine Fractures
Authors: Ahmed M. Seleem, MD , Alaa A. Farag MD and Moataz A. Elawady MD
Year: 2014
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: Local
Paper Link: Not Available
Full paper ahmed.attia_Short-segment Transpedicular Screw Fixation of unstable Thoracolumbar Spine Fracture3(1).doc
Supplementary materials Not Available
Abstract:

Background: Thoracolumbar spine fractures are common in the young healthy population. The most common causes of these fractures are high-energy traumas, traffic accidents or falls from heights. Fractures can be followed by neurological deficit, which is a direct consequence of the spinal cord and/or root(s) damage. Fractures are treated with surgical or nonsurgical methods. Transpedicular screw fixation is one of the methods of surgical treatment objective: The aim of the paper was to evaluate the results of the posterior short-segment transpedicular screw fixation in the treatment of unstable traumatic fractures of the thoracolumbar spine. Patient and methods: This retrospective study included fifty patients with the diagnosis of thoracolumbar traumatic spinal fracture without posttraumatic neurologic deficit in the neurosurgical department of Banha University Hospital. They were operated upon with posterior instrumentation between January 2006 and January 2012. Results: Fifty (28 males and 22 females) with age ranging between 16 and 66 years (mean 41.8, St.D. 11.3) were operated upon by posterior transpedicular screw fixation. According to the ASIA scoring system all patients were grade E. The mean kyphotic deformities measured preoperatively was 19.2 de¬grees (±5.5 degrees) and at within 12 months follow-up, was 8.0 degrees (±3.6 degrees). The mean mid-sagittal diameter improved from 9.2 mm (±3.1 mm) before surgery to 15.1 mm (±0.8 mm) at the 12 months follow-up visit. Conclusion: By applying the transpedicular screw fixation of the unstable fractures of the thoracolumbar spine, a stable fracture fixation can be achieved. This kind of fixation prevents secondary spine deformities.

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