A Novel Device for Closed Reduction and Percutaneous Fixation of Thoracolumbar Fractures

Linhart, Christoph; Becker, Christopher A.; Befrui, Nima; Suero, Eduardo M.; Kussmaul, Adrian C.; Böcker, Wolfgang; Kammerlander, Christian und Greiner, Axel (2022): A Novel Device for Closed Reduction and Percutaneous Fixation of Thoracolumbar Fractures. In: In Vivo, Bd. 36, Nr. 1: S. 384-390

Abstract

Background/Aim: Open surgical reduction/fixation of thoracolumbar fractures results in significant soft-tissue trauma and related complications. Minimally-invasive technical developments could deliver similar radiological outcomes, while avoiding the related complications. We evaluated radiological and perioperative outcomes in thoracolumbar fractures by using a novel minimally-invasive device. Patients and Methods: Twenty-six patients with 29 thoracolumbar fractures using the NForce device were analyzed. Postoperative reduction and alignment were assessed by radiographic measurement of the local kyphosis angle (LKA) up until a follow-up period of 9 months. Results: Postoperative imaging revealed an average reduction of traumatic kyphosis of 8.25 degrees (+/- 7.72 degrees) with an average postoperative LKA of 3.24 degrees (+/- 8.97 degrees). The highest degree of reduction was 27.39 degrees. The mean LKA had increased to 5.08 degrees (+/- 5.17 degrees) at 3 months postoperative, 5.43 degrees (+/- 4.32 degrees) at 6 months and 6.21 degrees (+/- 3.82 degrees) at 9 months. Conclusion: The minimally invasive NForce system is effective in performing anatomic percutaneous reduction/fixation.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0258-851X
• Sprache: Englisch