Outcomes of Transpedicular Screw Fixation with Unstable Thoracolumber Spine Injury

Abstract

Objective: To evaluate the role of transpedicular screw fixation of thoracolumber spinal injury in terms of postoperative pain control and neurological recovery.

Study Design: Quasi experimental trial.

Place and Duration: Study was conducted in the department of orthopedic and spinal surgery in Nishter Hospital Multan. Study was completed in one year duration from August 2017 to August 2018.

Methodology: Study was initiated after permission from hospital academic affairs committee and written informed consent was obtained from patients. Sixty patients presented at orthopedic outpatient department with history of one week of unstable thoraco lumbar spine injury. Main variables were age, duration of surgery, duration of injury, control of pain, CSF leakage, nerv rout damage and wound infection.

Results: Statistically significant between preoperative and postoperative, after one moth and after three months with regards to Frankel classification of neurological injury. Similarly, the difference was statistically significant between preoperative and postoperative, after one moth and after three months with regards to Denis pain scale at follow-up.

Conclusion: Thoracolumbar junction injuries are common in young adults and Transpedicular screw fixation is useful choice for good pain control and achieving better neurological recovery in traumatic thoracolumbar fractures.