PMID- 32933576
OWN - NLM
STAT- MEDLINE
DCOM- 20210521
LR  - 20210521
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 15
IP  - 1
DP  - 2020 Sep 15
TI  - Percutaneous pedicle screw fixation combined with selective transforaminal 
      endoscopic decompression for the treatment of thoracolumbar burst fracture.
PG  - 415
LID - 10.1186/s13018-020-01946-6 [doi]
LID - 415
AB  - BACKGROUND: The objective of this study was to evaluate the feasibility, safety, 
      efficacy, and indications of percutaneous pedicle screw fixation (PPSF) combined 
      with selective transforaminal endoscopic decompression (TED) in the treatment of 
      thoracolumbar burst fracture (TBLF). METHODS: From August 2015 to October 2018, a 
      total of 41 patients with single-segment TLBF (28 men and 13 women) were enrolled 
      in this study. X-ray and computed tomography were obtained before surgery, 1 week 
      after surgery, and 1 year after surgery to evaluate spinal recovery. In addition, 
      we used the visual analog scale (VAS), the Oswestry Disability Index (ODI), the 
      Japanese Orthopedic Association score (JOA), and the Frankel classification of 
      neurological deficits to evaluate the effectiveness of the treatments. RESULTS: 
      The average follow-up time was 22.02 +/- 8.28 months. The postoperative Cobb angle, 
      vertebral body compression ratio, vertebral wedge angle, mid-sagittal canal 
      diameter compression ratio, and Frankel grade were significantly improved. There 
      were also significant improvements in the VAS (7.61 +/- 1.41 vs. 1.17 +/- 0.80, 
      P < 0.001), ODI (89.82 +/- 7.44 vs. 15.71 +/- 13.50, P < 0.001), and JOA (6.90 +/- 2.91 
      vs. 24.90 +/- 3.03, P < 0.001). CONCLUSIONS: Our results showed that PPSF combined 
      with selective TED in the treatment of TLBF had excellent efficacy, high safety, 
      less secondary injury than other treatments, and a wide range of indications and 
      that it could accurately distinguish patients who did not need spinal canal 
      decompression after posterior fixation. PPSF combined with selective TED is 
      therefore a good choice for the treatment of TLBF.
FAU - Huang, Zhangheng
AU  - Huang Z
AD  - Department of Spine Surgery, Affiliated Hospital of Chengde Medical University, 
      Chengde, 067000, Hebei, China.
FAU - Tong, Yuexin
AU  - Tong Y
AD  - Department of Spine Surgery, Affiliated Hospital of Chengde Medical University, 
      Chengde, 067000, Hebei, China.
FAU - Fan, Zhiyi
AU  - Fan Z
AD  - Department of Spine Surgery, Affiliated Hospital of Chengde Medical University, 
      Chengde, 067000, Hebei, China.
FAU - Hu, Chuan
AU  - Hu C
AD  - Department of Orthopedics, The Affiliated Hospital of Qingdao University, 
      Qingdao, 266000, Shandong, China.
FAU - Zhao, Chengliang
AU  - Zhao C
AUID- ORCID: 0000-0002-2673-3398
AD  - Department of Spine Surgery, Affiliated Hospital of Chengde Medical University, 
      Chengde, 067000, Hebei, China. 38221965@qq.com.
LA  - eng
PT  - Journal Article
PT  - Retracted Publication
DEP - 20200915
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
RIN - J Orthop Surg Res. 2020 Dec 30;15(1):607. PMID: 33380326
MH  - *Retraction of Publication as Topic
PMC - PMC7493152
OTO - NOTNLM
OT  - Percutaneous pedicle screw fixation
OT  - Thoracolumbar burst fracture
OT  - Three nerve root decompression
OT  - Transforaminal endoscopic decompression
COIS- The authors declare that they have no competing interests.
EDAT- 2020/09/17 06:00
MHDA- 2021/05/22 06:00
PMCR- 2020/09/15
CRDT- 2020/09/16 05:29
PHST- 2020/04/28 00:00 [received]
PHST- 2020/09/06 00:00 [accepted]
PHST- 2020/09/16 05:29 [entrez]
PHST- 2020/09/17 06:00 [pubmed]
PHST- 2021/05/22 06:00 [medline]
PHST- 2020/09/15 00:00 [pmc-release]
AID - 10.1186/s13018-020-01946-6 [pii]
AID - 1946 [pii]
AID - 10.1186/s13018-020-01946-6 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2020 Sep 15;15(1):415. doi: 10.1186/s13018-020-01946-6.