Intermuscular Technique for Stabilization of Traumatic Thoracolumbar Fractures without Neurological Deficits

Document Type : Original Articles

Authors

1 Tanta university Faculty of medicine

2 Neurosurgery Department, Faculty of Medicine, Tanta University, Egypt.

3 Neurosurgery Department, Faculty of Medicine, Suez Canal University, Egypt.

Abstract

Aim: The purpose of this study was to assess the clinical and radiological outcomes of employing the intermuscular approach to treat traumatic thoracolumbar fractures without neurological impairments
Methods: Thirty patients with acute thoracolumbar fractures who did not have any neurological deficits participated in this retrospective analysis. Ten females and twenty males are included in this. All patients had surgical stabilization using the intermuscular paraspinal method
Results: The L1 vertebra was the site of 35% of the fractures. Road traffic collision victims made up 64% of cases. A minimum of six to fifteen months were spent monitoring every patient. The patients met the modified McNab criterion for satisfactory clinical outcomes. The results of sixteen cases (53%), twelve cases (40%), and two cases (7%), respectively, were deemed to be excellent, good, and fair. In every instance, vertebral body height (VBH) correction was attained. Long-segment fixation was performed on each patient. Only four of the 240 screws that were used had grade-2 misplacement; Yet all of the patients recovered completely. All patients' fractures have healed six months after surgery.
Conclusion: Less blood is lost during surgery when using the paraspinal approach, and the paraspinal muscles as well as the supraspinal and interspinal ligaments are protected. The paraspinal method is less expensive than percutaneous screws. In underdeveloped areas, it ought to be the first option for treating individuals who do not have any neurological impairment.

Keywords

Pan Arab Journal of Neurosurgery
Volume 19, Issue 2
December 2024
Pages 147-151

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