Abstract
Background: Surgical stabilization of thoracic spine fractures is recommended for unstable patterns, yet much debate exists regarding the best approach for reduction. The aim of this article was to report the outcome of a novel method for stabilization of a fish-mouth thoracic spine fracture. Methods: A retrospective patient chart review was conducted. Data collected included blood loss, operative time, length of stay, perioperative complications, neurologic deficits, and secondary procedures. The patient underwent percutaneous reduction of a hyperextension injury to the thoracic spine. Sufficient reduction was achieved through a percutaneous approach, followed by sequential distraction of 1 rod with sequential locking of the contralateral rod to maintain deformity correction. Electrophysiologic monitoring was used during the procedure. Results: Sufficient fracture reduction was achieved and evaluated on postoperative computed tomography. Operative time was 145 minutes, and estimated blood loss was 120 mL. There were no cerebrospinal fluid leaks, iatrogenic neurologic deficits, implant failures, other systemic events or revisions during the 8-month follow-up. Conclusions: This article describes the feasibility of using a novel model for reduction and stabilization of fish-mouth thoracic spine fracture with minimal soft tissue violation.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 106-111 |
| Number of pages | 6 |
| Journal | World Neurosurgery |
| Volume | 122 |
| DOIs | |
| State | Published - Feb 1 2019 |
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Keywords
- Fish mouth fracture
- Minimally invasive surgery
- Novel technique
- Trauma
ASJC Scopus subject areas
- Surgery
- Clinical Neurology
Cite this
Fish-Mouth Thoracic Fracture Fixation with Minimally Invasive Percutaneous Reduction : A Technical Note. / Donnally, Chester J.; Madhavan, Karthik; Lugo-Pico, Julian G.; Chieng, Lee Onn; Vanni, Steven.
In: World Neurosurgery, Vol. 122, 01.02.2019, p. 106-111.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Fish-Mouth Thoracic Fracture Fixation with Minimally Invasive Percutaneous Reduction
T2 - A Technical Note
AU - Donnally, Chester J.
AU - Madhavan, Karthik
AU - Lugo-Pico, Julian G.
AU - Chieng, Lee Onn
AU - Vanni, Steven
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Background: Surgical stabilization of thoracic spine fractures is recommended for unstable patterns, yet much debate exists regarding the best approach for reduction. The aim of this article was to report the outcome of a novel method for stabilization of a fish-mouth thoracic spine fracture. Methods: A retrospective patient chart review was conducted. Data collected included blood loss, operative time, length of stay, perioperative complications, neurologic deficits, and secondary procedures. The patient underwent percutaneous reduction of a hyperextension injury to the thoracic spine. Sufficient reduction was achieved through a percutaneous approach, followed by sequential distraction of 1 rod with sequential locking of the contralateral rod to maintain deformity correction. Electrophysiologic monitoring was used during the procedure. Results: Sufficient fracture reduction was achieved and evaluated on postoperative computed tomography. Operative time was 145 minutes, and estimated blood loss was 120 mL. There were no cerebrospinal fluid leaks, iatrogenic neurologic deficits, implant failures, other systemic events or revisions during the 8-month follow-up. Conclusions: This article describes the feasibility of using a novel model for reduction and stabilization of fish-mouth thoracic spine fracture with minimal soft tissue violation.
AB - Background: Surgical stabilization of thoracic spine fractures is recommended for unstable patterns, yet much debate exists regarding the best approach for reduction. The aim of this article was to report the outcome of a novel method for stabilization of a fish-mouth thoracic spine fracture. Methods: A retrospective patient chart review was conducted. Data collected included blood loss, operative time, length of stay, perioperative complications, neurologic deficits, and secondary procedures. The patient underwent percutaneous reduction of a hyperextension injury to the thoracic spine. Sufficient reduction was achieved through a percutaneous approach, followed by sequential distraction of 1 rod with sequential locking of the contralateral rod to maintain deformity correction. Electrophysiologic monitoring was used during the procedure. Results: Sufficient fracture reduction was achieved and evaluated on postoperative computed tomography. Operative time was 145 minutes, and estimated blood loss was 120 mL. There were no cerebrospinal fluid leaks, iatrogenic neurologic deficits, implant failures, other systemic events or revisions during the 8-month follow-up. Conclusions: This article describes the feasibility of using a novel model for reduction and stabilization of fish-mouth thoracic spine fracture with minimal soft tissue violation.
KW - Fish mouth fracture
KW - Minimally invasive surgery
KW - Novel technique
KW - Trauma
UR - http://www.scopus.com/inward/record.url?scp=85056768842&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056768842&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2018.10.152
DO - 10.1016/j.wneu.2018.10.152
M3 - Article
C2 - 30391618
AN - SCOPUS:85056768842
VL - 122
SP - 106
EP - 111
JO - World Neurosurgery
JF - World Neurosurgery
SN - 1878-8750
ER -