Key result
Minimally-invasive spinal column fixation using a midline incision achieved stabilization in 10 of 11 patients and restored spinal alignment in 9 of 11 patients.
Why the study?
Does minimally-invasive fixation using a midline incision improve stabilization and alignment in patients with spinal cord injury?
Observational (n=11)
Does minimally-invasive fixation using a midline incision improve stabilization and alignment in patients with spinal cord injury?
Minimally-invasive fixation using a midline incision effectively achieves spinal column stabilization and anatomical restoration in patients with spinal cord injury.
Answers are grounded in this paper and cite their sources.
May support midline minimally invasive fixation for stabilization in spinal injury; hypothesis-generating and requires controlled trials before practice change.
BACKGROUND the fractured spinal column has seen many changes in last 5 decades. Starting from Luque’s rod (Dr. Eduardo ), Hartshill’s rectangle, the Harrington rod (Dr. Paul Harrington), Variable Spinal Plating (VSP), pedicle screw and rod being the latest. The emphasis is on minimally invasive and least possible trauma to paraspinal muscles. Percutaneous screw fixation is at present a gold standard of minimally-invasive procedure. AND METHODS 11 patients were operated between August 2013 till March 2016 with this method and the outcome was evaluated. neurological recovery is not the goal of spinal column fixation in SCI patients in most of the cases. The only goal is of spinal column, pain relief, rehabilitation, prevention of bedsore, RTI by achieving vertical chest, UTI by preventing of urine in bladder, etc. presenting operative procedure for achieving this goal of stabilisation is very well achieved in 10 out of 11 cases with soft tissue trauma. The improvement in alignment and restoration of anatomy of spinal column, restoration of spinal diameter as judged radiologically is achieved in 9 of out of 11 cases.
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Shankar et al. (2017) conducted an observational in Spinal cord injury (n=11). Minimally-invasive spinal column fixation using midline incision was evaluated on Stabilisation of spinal column with minimal soft tissue trauma. Minimally-invasive spinal column fixation using a midline incision achieved stabilization in 10 of 11 patients and restored spinal alignment in 9 of 11 patients.
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