13. Surgical Outcome of Transpedicular Fixation in Thoracolumbar Injuries
Adnan Munir, Muhammad Idris Khan, Sajjad Ullah and Sajid Mehboob
ABSTRACT
Objective: The research aims to outline the surgery result of thoracolumbar injuries using short-segment pedicle screw fixation.
Study Design: A retrospective- study
Place and Duration of Study: This study was conducted at the Khyber Teaching Hospital in a time duration of 2 years i.e., from 05-Jan-2020 to 05-Jan-2022.
Methods: All ‘thoracolumbar’ injuries treated through surgery were reviewed retrospectively. The short-segment approach was used to instrument the 84 participants treated through surgery. A magnetic resonance imaging (MRI), computed tomography scans (CT), prior and post operative images, patient records, and operative records were all obtained. The review included neurologic observations (Frankel functional classification) and follow-up records for a maximum of six months.
Results: Transpedicular stabilization was carried out in 84 individuals. The male to female ratio was 2:1, with 56 male and 28 female patients. Age ranged from 18 to 65 years old, with a mean of 43±14.867. Injuries varied in severity among the age ranges. There were variations in the severity of injuries among different age categories. Frankle grading was used to evaluate the result. There was no increase in neurological impairment in any patient. The majority of patients improved. Eight cases had hardware failure, sixteen had bed-sores, and three had deep venous thrombus. Misplaced screw in 5 scenarios. Eight patients developed superficial wound infections.
Conclusion: The short-term monitoring results indicate an effective outcome for short-segment instrument, even though the long-term monitoring assessment needs to be established.
Key Words: Pedicle screws instrument, ‘thoracolumbar’ injuries, Short-segment fixing.