Comparative study between conventional open spine pedicle screw fixation surgery minimally invasive percutaneous pedicle screw fixation in the management of thoracolumbar spine fracture in adult

Abstract

Documented treatment of spine fractures dates back several thousands of years. Closed treatment and manipulation to correct the sustained deformity were typically used. In the early 20th century, most treatment consisted of immobilization in hyperextension. The present study was conducted in the Department of Orthopaedics, from October 2011 to October 2013. 25 randomly selected cases admitted through hospital with unstable dorso-lumbar spinal fractures and dislocations in each group. All these patients were managed by posterior pedicle screw fixation. All cases were followed up for a minimum period of 1 year. In the percutaneous pedicle fixation group, 12 patients had excellent results, 10 patients had good results & 3 had fair outcome. In the conventional pedicle fixation group, 8 patients had excellent results, 12 patients had good results & 5 had fair outcome.