Treatment of thoracolumbar fractures by closed reduction via a percutaneous solid pedicle screw

This study investigates a minimally invasive surgical technique for treating thoracolumbar fractures. The method involves closed reduction and percutaneous pedicle screw fixation. Patients with single-segment thoracolumbar fractures were treated using this technique. The study assessed operation time, blood loss, vertebral height restoration, kyphosis correction, and pain levels. The results showed that the technique is effective in reducing fractures, restoring vertebral height, correcting kyphosis, and alleviating pain. The study suggests the method is simple, effective and economical.

• 1
  All fractured vertebrae were completely reduced, their height was restored, and kyphosis was corrected.
• 2
  Significant improvements were seen in the anterior vertebral body height ratio (AVHR), Cobb angle (CA) of sagittal kyphosis, and VAS score (P < 0.01).
• 3
  The average operation time was 147.2 ± 45.6 min, and the average intraoperative bleeding was 67.8 ± 34.2 mL.