Issue release date: 12.11.2024
Turkish Neurosurgery
2013 , Vol 23 , Num 6
Implanting Pedicle Screw in Fractured Vertebra Results in No Adverse Effect on Bone Healing in Thoracic or Lumbar Burst Fracture
1The Second Xiangya Hospital of Central South University, Department of Spine Surgery, Changsha, China2The Second Xiangya Hospital of Central South University, Department of Emergency, Changsha, China DOI : 10.5137/1019-5149.JTN.7955-13.0 AIM: To confirm whether implanting pedicle-screw at the level of fractured vertebra increases adverse effects on fracture healing.
MATERIAL and METHODS: CT follow-up was conducted for 28 patients who sustained thoracic or lumbar burst fracture and underwent posterior pedicle-screw instrumentation and reduction including implanting screws into the fractured vertebra at the same time. The time for follow-up CT scan ranged from 1 to 3 years postoperatively.
RESULTS: 28 patients underwent final CT scan 1 to 3 years after surgery which revealed good bony fusion within each fractured vertebra and no screw or rod breakage; kyphosis was also not detected.
CONCLUSION: Implanting pedicle-screw at the level of fractured vertebra does not have a negative influence on bone healing.
Keywords : Spine trauma, Thoracolumbar, Burst fracture, Short segment fixation, Bone healing