Percutaneous Pedicle Screw Fixation in Polytrauma Patients

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2013 Sep 18

PMID 24043339

Citations 14

Authors

L Scaramuzzo

F C Tamburrelli

E Piervincenzi

V Raggi

S Cicconi

L Proietti

Affiliations

Soon will be listed here.

Abstract

Purpose: The clinical outcome of polytrauma patients underwent spine fixation was analyzed and correlated both to surgical time (early versus delayed) and to fixation type (open versus percutaneous).

Methods: Twenty-four polytrauma patients were retrospectively evaluated. Patients were evaluated according to age, accident dynamic, mechanical ventilation need, blood transfusion need, SAPS II score, type of vertebral injury, time of fixation (within or after 72 h) and type of fixation.

Results: Nine patients underwent percutaneous pedicle screw fixation and 12 open fusion. An early fixation allows better clinical outcome considering ICU stay (13.7 versus 21.71 days), H-LOS (25.8 versus 69.5 days), mechanical ventilation need (7 versus 16.2), blood transfusion need (250 versus 592 cc).

Conclusions: In polytrauma patients an early spine fixation improves clinical outcome. Patients underwent percutaneous screw fixation showed a better outcome compared to open surgery group obtained despite worst clinical conditions.

Citing Articles

Posterior Percutaneous Pedicle Screws Fixation Versus Open Surgical Instrumented Fusion for Thoraco-Lumbar Spinal Metastases Palliative Management: A Systematic Review and Meta-analysis.

Perna A, Smakaj A, Vitiello R, Velluto C, Proietti L, Tamburrelli F Front Oncol. 2022; 12:884928.

PMID: 35444954 PMC: 9013833. DOI: 10.3389/fonc.2022.884928.

Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review.

Rovere G, Perna A, Meccariello L, De Mauro D, Smimmo A, Proietti L Int Orthop. 2021; 45(10):2687-2697.

PMID: 34378143 PMC: 8514382. DOI: 10.1007/s00264-021-05153-8.

Postoperative Blood Loss Including Hidden Blood Loss in Early and Late Surgery Using Percutaneous Pedicle Screws for Traumatic Thoracolumbar Fracture.

Sasagawa T, Takeuchi Y, Aita I Spine Surg Relat Res. 2021; 5(3):171-175.

PMID: 34179554 PMC: 8208959. DOI: 10.22603/ssrr.2020-0152.

Timing of intervention for spinal injury in patients with polytrauma.

Kanna R, Shetty A, Rajasekaran S J Clin Orthop Trauma. 2021; 12(1):96-100.

PMID: 33716434 PMC: 7920207. DOI: 10.1016/j.jcot.2020.10.003.

Early Versus Late Spine Surgery in Severely Injured Patients-Which Is the Appropriate Timing for Surgery?.

Sousa A, Rodrigues C, Barros L, Serrano P, Rodrigues-Pinto R Global Spine J. 2021; 12(8):1781-1785.

PMID: 33472431 PMC: 9609529. DOI: 10.1177/2192568221989292.

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