Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation
Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractur...
Ausführliche Beschreibung
Autor*in: |
Victor V. Rerikh [verfasserIn] Murat U. Baidarbekov [verfasserIn] Mikhail A. Sadovoy [verfasserIn] Nurlan D. Batpenov [verfasserIn] Irina A. Kirilova [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Russisch |
Erschienen: |
2017 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Хирургия позвоночника - Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan", 2021, 14(2017), 3, Seite 54-61 |
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Übergeordnetes Werk: |
volume:14 ; year:2017 ; number:3 ; pages:54-61 |
Links: |
Link aufrufen |
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DOI / URN: |
10.14531/ss2017.3.54-61 |
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Katalog-ID: |
DOAJ062136011 |
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520 | |a Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. | ||
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10.14531/ss2017.3.54-61 doi (DE-627)DOAJ062136011 (DE-599)DOAJ356a84606a8e4e14a3e4b45119890c0c DE-627 ger DE-627 rakwb eng rus RD1-811 Victor V. Rerikh verfasserin aut Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. spinal fractures transpedicular fixation percutaneous vertebroplasty open transpedicular vertebroplasty Surgery Murat U. Baidarbekov verfasserin aut Mikhail A. Sadovoy verfasserin aut Nurlan D. Batpenov verfasserin aut Irina A. Kirilova verfasserin aut In Хирургия позвоночника Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan", 2021 14(2017), 3, Seite 54-61 (DE-627)176496599X 23131497 nnns volume:14 year:2017 number:3 pages:54-61 https://doi.org/10.14531/ss2017.3.54-61 kostenfrei https://doaj.org/article/356a84606a8e4e14a3e4b45119890c0c kostenfrei https://www.spinesurgery.ru/jour/article/view/429/1326 kostenfrei https://doaj.org/toc/1810-8997 Journal toc kostenfrei https://doaj.org/toc/2313-1497 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2017 3 54-61 |
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10.14531/ss2017.3.54-61 doi (DE-627)DOAJ062136011 (DE-599)DOAJ356a84606a8e4e14a3e4b45119890c0c DE-627 ger DE-627 rakwb eng rus RD1-811 Victor V. Rerikh verfasserin aut Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. spinal fractures transpedicular fixation percutaneous vertebroplasty open transpedicular vertebroplasty Surgery Murat U. Baidarbekov verfasserin aut Mikhail A. Sadovoy verfasserin aut Nurlan D. Batpenov verfasserin aut Irina A. Kirilova verfasserin aut In Хирургия позвоночника Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan", 2021 14(2017), 3, Seite 54-61 (DE-627)176496599X 23131497 nnns volume:14 year:2017 number:3 pages:54-61 https://doi.org/10.14531/ss2017.3.54-61 kostenfrei https://doaj.org/article/356a84606a8e4e14a3e4b45119890c0c kostenfrei https://www.spinesurgery.ru/jour/article/view/429/1326 kostenfrei https://doaj.org/toc/1810-8997 Journal toc kostenfrei https://doaj.org/toc/2313-1497 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2017 3 54-61 |
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10.14531/ss2017.3.54-61 doi (DE-627)DOAJ062136011 (DE-599)DOAJ356a84606a8e4e14a3e4b45119890c0c DE-627 ger DE-627 rakwb eng rus RD1-811 Victor V. Rerikh verfasserin aut Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. spinal fractures transpedicular fixation percutaneous vertebroplasty open transpedicular vertebroplasty Surgery Murat U. Baidarbekov verfasserin aut Mikhail A. Sadovoy verfasserin aut Nurlan D. Batpenov verfasserin aut Irina A. Kirilova verfasserin aut In Хирургия позвоночника Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan", 2021 14(2017), 3, Seite 54-61 (DE-627)176496599X 23131497 nnns volume:14 year:2017 number:3 pages:54-61 https://doi.org/10.14531/ss2017.3.54-61 kostenfrei https://doaj.org/article/356a84606a8e4e14a3e4b45119890c0c kostenfrei https://www.spinesurgery.ru/jour/article/view/429/1326 kostenfrei https://doaj.org/toc/1810-8997 Journal toc kostenfrei https://doaj.org/toc/2313-1497 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2017 3 54-61 |
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10.14531/ss2017.3.54-61 doi (DE-627)DOAJ062136011 (DE-599)DOAJ356a84606a8e4e14a3e4b45119890c0c DE-627 ger DE-627 rakwb eng rus RD1-811 Victor V. Rerikh verfasserin aut Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. spinal fractures transpedicular fixation percutaneous vertebroplasty open transpedicular vertebroplasty Surgery Murat U. Baidarbekov verfasserin aut Mikhail A. Sadovoy verfasserin aut Nurlan D. Batpenov verfasserin aut Irina A. Kirilova verfasserin aut In Хирургия позвоночника Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan", 2021 14(2017), 3, Seite 54-61 (DE-627)176496599X 23131497 nnns volume:14 year:2017 number:3 pages:54-61 https://doi.org/10.14531/ss2017.3.54-61 kostenfrei https://doaj.org/article/356a84606a8e4e14a3e4b45119890c0c kostenfrei https://www.spinesurgery.ru/jour/article/view/429/1326 kostenfrei https://doaj.org/toc/1810-8997 Journal toc kostenfrei https://doaj.org/toc/2313-1497 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2017 3 54-61 |
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10.14531/ss2017.3.54-61 doi (DE-627)DOAJ062136011 (DE-599)DOAJ356a84606a8e4e14a3e4b45119890c0c DE-627 ger DE-627 rakwb eng rus RD1-811 Victor V. Rerikh verfasserin aut Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. spinal fractures transpedicular fixation percutaneous vertebroplasty open transpedicular vertebroplasty Surgery Murat U. Baidarbekov verfasserin aut Mikhail A. Sadovoy verfasserin aut Nurlan D. Batpenov verfasserin aut Irina A. Kirilova verfasserin aut In Хирургия позвоночника Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan", 2021 14(2017), 3, Seite 54-61 (DE-627)176496599X 23131497 nnns volume:14 year:2017 number:3 pages:54-61 https://doi.org/10.14531/ss2017.3.54-61 kostenfrei https://doaj.org/article/356a84606a8e4e14a3e4b45119890c0c kostenfrei https://www.spinesurgery.ru/jour/article/view/429/1326 kostenfrei https://doaj.org/toc/1810-8997 Journal toc kostenfrei https://doaj.org/toc/2313-1497 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2017 3 54-61 |
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Rerikh</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2017</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. 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RD1-811 Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation spinal fractures transpedicular fixation percutaneous vertebroplasty open transpedicular vertebroplasty |
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misc RD1-811 misc spinal fractures misc transpedicular fixation misc percutaneous vertebroplasty misc open transpedicular vertebroplasty misc Surgery |
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Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation |
abstract |
Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. |
abstractGer |
Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. |
abstract_unstemmed |
Objective. To analyze treatment results in patients with fractures of thoracic and lumbar vertebal bodies after transpedicular vertebroplasty and fixation through minimally invasive percutaneous and open approaches. Material and Methods. A total of 154 patients with uncomplicated type A2, A3 fractures of the thoracic and lumbar vertebral bodies were operated on. All patients were examined with X-ray densitometry, spondylog- raphy, and CT. Group 1 included 53 patients who underwent vertebroplasty with deproteinized bone graft and percutaneous transpedicular fix- ation. Patients of Group 2 (n = 41), Group 3 (n = 43) and Group 4 (n = 17) underwent open transpedicular fixation and vertebroplasty with deproteinized bone graft (Group 2) and titanium nikilide granules (Groups 3 and 4). Results. Intraoperative blood loss during open vertebro- plasty combined with short-segment transpedicular fixation exceeded that during percutaneous vertebroplasty. Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity. |
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Surgical treatment of thoracic and lumbar spine fractures using transpedicular vertebroplasty and fixation |
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Parameters of kyphotic defor- mity, the wedge index and the loss of correction did not differ significantly except for Group 4. Significant improvement in ODI and VAS scores was noted after percutaneous vertebroplasty as compared with control groups. Conclusion. Transpedicular verteboplasty and transpedicular fixation, both open and percutaneous, performed for the treatment of type A2 and A3 spinal fractures provide reliable stabilization of the injured spinal segments, allow vertebral body height restoration to a greater extent and correction of the kyphotic deformity.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">spinal fractures</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">transpedicular fixation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">percutaneous vertebroplasty</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">open transpedicular vertebroplasty</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Murat U. Baidarbekov</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Mikhail A. Sadovoy</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Nurlan D. Batpenov</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Irina A. Kirilova</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Хирургия позвоночника</subfield><subfield code="d">Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. 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