Abstract：
BACKGROUND:This study aimed to compare the accuracy of screw placement between open pedicle screw fixation and percutaneous pedicle screw fixation (MIS) for the treatment of thoracolumbar spine fractures (TSF). METHODS:forty-nine patients with acute TSF who were treated with transpedicular screw fixation from January 2013 to December 2016 were retrospectively reviewed. The patients were divided into Open and MIS groups. Laminectomy was performed in either group if needed. The accuracy of the screw placement, the evolution of the Cobb sagittal angle postoperatively and at 12-month follow-up and the neurological status were recorded. AO type of fracture and TLICS score were also recorded. RESULTS:Mean age was 42 years old. Mean TLICS score was 6.29 and 5.96 for open and MIS groups respectively. Twenty-five MIS and 24 open surgeries were performed, and 350 (175 in each group) screws were inserted (7.14 per patient). Twenty-four and 13 screws were considered "out" in the open and MIS groups respectively (Odds ratio 1.98. 0.97-4,03 P=0.056). The Cobb sagittal angle went from 13.3º to 4.5º and from 14.9º to 8.2º in the Open and MIS groups respectively (both P<0.0001). Loss of correction at 12-month follow-up was 3.2º and 4.2º for the open and MIS groups, respectively. No neurological worsening was observed. CONCLUSIONS:For the treatment of acute thoracolumbar fractures, the MIS technique seems to achieve similar results to the open technique in relation to neurological improvement and deformity correction, while placing the screws more accurately.
journal_name
J Neurosurg Scijournal_title
Journal of neurosurgical sciencesauthors
Paredes I,Panero I,Cepeda S,CastaÑo-Leon AM,Jimenez-Roldan L,Perez-NuÑez Á,AlÉn JA,Lagares Adoi
10.23736/S0390-5616.18.04439-9subject
Has Abstractpub_date
2021-02-01 00:00:00pages
38-46issue
1eissn
0390-5616issn
1827-1855pii
S0390-5616.18.04439-9journal_volume
65pub_type
杂志文章abstract：:Free fat in the ventricular space is a rare but well recognized complication of ruptured tumour of dermal origin. However, only 1 patient of spontaneous rupture of spinal dermoid tumour with disseminated fat in the central canal and ventricles has been described in the literature. The authors report an extremely rare ...
journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章,评审
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更新日期：2004-06-01 00:00:00
abstract：:The authors present the results of a long-term follow up of 52 juvenile head-injured patients who showed early epileptic seizures. The purpose of this study is to stress the role of long-term prognosis in the early seizures and to determine in which cases a treatment preventing late seizures is eligible. They consider...
journal_title：Journal of neurosurgical sciences
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abstract：:A case of acromegaly associated to a giant osteoma of the cranial vault and hydrocephalus in a young woman is reported. It can be suggested that acromegaly favoured the marked growth of the osteoma. Hydrocephalus resulted consequent to both the compression of the superior longitudinal sinus by the tumor and alteration...
journal_title：Journal of neurosurgical sciences
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journal_title：Journal of neurosurgical sciences
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journal_title：Journal of neurosurgical sciences
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更新日期：1993-12-01 00:00:00
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pub_type： 临床试验,杂志文章
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journal_title：Journal of neurosurgical sciences
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更新日期：1981-01-01 00:00:00
abstract：:Multidisciplinary efforts are being made to provide surgical teams with sensitive and specific tasks for language mapping in awake surgery. Researchers and clinicians have elaborated different tasks over time. A fair amount of work has been directed to study the neurofunctional correlates of some of these tasks, and t...
journal_title：Journal of neurosurgical sciences
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journal_title：Journal of neurosurgical sciences
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更新日期：1997-09-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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更新日期：1995-03-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：2016-01-20 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：2009-12-01 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
abstract：:Tumor related fractures of the spine frequently dictate surgical management. The most critical factors influencing the need and type of surgery are degree of epidural cord compression, radiosensitivity of the tumor, presence of spinal instability and patient medical status/ estimated survivorship. There is a wide spec...
journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章,评审
doi：
更新日期：2012-06-01 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：1984-01-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：2012-12-01 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章,评审
doi：
更新日期：1989-07-01 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：10.23736/S0390-5616.19.04820-3
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1989-01-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1984-07-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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journal_title：Journal of neurosurgical sciences
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doi：10.23736/S0390-5616.16.03647-X
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journal_title：Journal of neurosurgical sciences
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doi：
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章,评审
doi：
更新日期：2012-03-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
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