Complication of thoracic pedicle screw fixation in spinal deformities / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 820-824, 2009.
Article
in Zh
| WPRIM
| ID: wpr-814264
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To analyze the etiology and prevention of complications related to the pedicle screw technique in the treatment of thoracic scoliosis.@*METHODS@#There were 183 thoracic deformity patients 110 idiopathic scoliosis, 32 adult scoliosis, 28 congenital kyphoscoliosis, 8 Marfan syndrome with scoliosis, and 6 others. All patients' Cobb angles were evaluated preoperatively, intraoperatively, and postoperatively by roentgenograms. The deformity correction rate was calculated. All radiographic evaluations were carried out in a double-blind fashion. The complication rate was analyzed perioperatively and postoperatively.@*RESULTS@#The deformity correction rate was 72%, better than others treated with hook-rod system. The perioperation complication rate was 8.4% (pedicle fracture 1.5%, infection 3.8%, pneumothorax and plural effusion 1.6%, transitory neurological damage 0.5%, and over-bleeding shock 1%). The complication rate at follow-up was 3.6% (infection 0.5%, fatigue fracture 1%, loss of deformity correction 1.6%, and transitory neurological damage 0.5%). Compared with those treated with hook-rod system, the perioperation complication rate, loss of deformity correction, permanent damage, and complications related to the internal fixation were all low.@*CONCLUSION@#The complication rate of pedicle screw fixation system was low in the treatment of thoracic deformity. When surgeons are thoroughly familiar with the technique and related pathoanatomy, and with the spinal cord function wardship by SEP, complications related to the pedicle screw technique in the treatment of thoracic scoliosis will be well controlled.
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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Scoliosis
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Spinal Fusion
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General Surgery
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Thoracic Vertebrae
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Bone Screws
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China
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Epidemiology
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Internal Fixators
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Orthopedic Procedures
Type of study:
Clinical_trials
Limits:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
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Male
Country/Region as subject:
Asia
Language:
Zh
Journal:
Journal of Central South University(Medical Sciences)
Year:
2009
Type:
Article