European Journal of Molecular & Clinical Medicine

Abstract

The main purpose of treatment of thoracolumbar injury is to stabilization of vertebrae to induce vertebrae healing, implementation of percutaneous surgery to minimize muscle damage, intra op and post-op morbidity. A prospective comparative interventional study of percutaneous versus open pedicle screw fixation for treatment of thoracolumbar fractures.
Materials and Methods: Hospital based prospective comparative interventional study, between November 2020 to December 2021. We reviewed 60 patients of thoracolumbar fracture, who were operated with pedicle screw by mis and open techniques. Hence, 60 patients were available for the study including 38 men and 22 women. Function and clinical evaluation were done using cobb’s angle, vas score, perioperative blood loss, operation time, radiation exposure and follow up done at 2-week, 6 week, 3, and 6 months
Results: In our study 60 patients undergoing treatment of thoracolumbar fractures in which 30 patients of percutaneous surgery were compared with 30 patients of open surgery. percutaneous surgery had shorter hospital stay by 3.57±0.5days (p<0.001), less operative time 73.17±8.66, lower infection rate 0 out of 30, better vas score compares to open surgery but no significantly difference between post-op cobb’s angle (p value<0.001) and postop vertebrae front body height (p value 0.0581).  
Conclusion: We recommend treatment of thoracolumbar fracture by percutaneous techniques with less operative time and less hospital stay, less blood loss. Low infection rate compared to open surgery.