Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
European Spine Journal
Published in: European Spine Journal 6/2013

01-11-2013 | Original Article

Complications in minimally invasive percutaneous fixation of thoracic and lumbar spine fractures and tumors

Authors: Alessandro Gasbarrini, Michele Cappuccio, Simone Colangeli, Maria Dolores Posadas, Riccardo Ghermandi, Luca Amendola

Published in: European Spine Journal | Special Issue 6/2013

Login to get access

Abstract

Purpose

We propose to evaluate the complication rate in minimally invasive stabilization (MIS) for spine fractures and tumors, as a common alternative to open fusion and conservative treatment.

Methods

From 2000 to 2010, 187 patients were treated by minimally invasive percutaneous fixation in 133 traumatic fractures and 54 primitive and/or secondary spine tumors. Complications were classified, according to the period of onset as intraoperative and postoperative, and according to the severity, as major and minor.

Results

A total of 15 complications (8 %) were recorded: 5 intraoperative (3 %), 6 early postoperative (3 %) and 4 late postoperative (2 %); 6 were minor complications (3 %) and 9 were major complications (5 %).

Conclusions

Minimally invasive stabilization of selected spine pathologies appears to be a safe technique with low complication rate and high patient satisfaction. MIS reduces hospitalization and allows a fast functional recovery improving the quality of life.
Literature
1.
Foley KT, Gupta SK (2001) Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus 10:1–8CrossRef
2.
Palmisani M, Gasbarrini A, Brodano GB, De Iure F, Cappuccio M, Boriani L, Amendola L, Boriani S (2009) Minimally invasive percutaneous fixation in the treatment of thoracic and lumbar spine fractures. Eur Spine J 18(Suppl 1):71–74PubMedCrossRef
3.
Wild MH, Glees M, Plieschnegger C, Wenda K (2007) Five-year follow-up examination after purely minimally invasive posterior stabilization of thoracolumbar fractures: a comparison of minimally invasive percutaneously and conventionally open treated patients. Arch Orthop Trauma Surg 127(5):335–343PubMedCrossRef
4.
Enneking WF (1986) A system of staging musculoskeletal neoplasms. Clin Orthop Relat Res 204:9–24PubMed
5.
Boriani S, Weinstein JN, Biagini R (1997) Primary bone tumors of the spine. Terminology and surgical staging. Spine (Phila Pa 1976) 22(9):1036–1044CrossRef
6.
Gasbarrini A, Li H, Cappuccio M, Mirabile L, Paderni S, Terzi S, Boriani S (2010) Efficacy evaluation of a new treatment algorithm for spinal metastases. Spine (Phila Pa 1976) 35(15):1466–1470
7.
Been HD, Poolman RW, Ubags LH (2004) Clinical outcome and radiographic results after surgical treatment of post-traumatic thoracolumbar kyphosis following simple type A fractures. Eur Spine J 13(2):101–107PubMedCrossRef
8.
Mumford J, Weinstein JN, Spratt KF, Goel VK (1993) Thoracolumbar burst fractures. The clinical efficacy and outcome of nonoperative management. Spine 18(8):955–970PubMedCrossRef
9.
Seybold EA, Sweeney CA, Fredrickson BE, Warhold LG, Bernini PM (1999) Functional outcome of low lumbar burst fractures. A multicenter review of operative and nonoperative treatment of L3–L5. Spine 24(20):2154–2161PubMedCrossRef
10.
Shen WJ, Shen YS (1999) Nonsurgical treatment of three-column thoracolumbar junction burst fractures without neurologic deficit. Spine 24(4):412–415PubMedCrossRef
11.
Shen WJ, Liu TJ, Shen YS (2001) Nonoperative treatment versus posterior fixation for thoracolumbar junction burst fractures without neurologic deficit. Spine 26(9):1038–1045PubMedCrossRef
12.
Chow GH, Nelson BJ, Gebhard JS, Brugman JL, Brown CW, Donaldson DH (1996) Functional outcome of thoracolumbar burst fractures managed with hyperextension casting or bracing and early mobilization. Spine 21(18):2170–2175PubMedCrossRef
13.
Pape HC, Giannoudis P, Krettek C (2002) The timing of fracture treatment in polytrauma patients: relevance of damage control orthopedic surgery. Am J Surg 183(6):622–629PubMedCrossRef
14.
Siebenga J, Leferink VJ, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Rommens PM, ten Duis HJ, Patka P (2006) Treatment of traumatic thoracolumbar spine fractures: a multicenter prospective randomized study of operative versus nonsurgical treatment. Spine 31(25):2881–2890PubMedCrossRef
15.
Tezer M, Erturer RE, Ozturk C, Ozturk I, Kuzgun U (2005) Conservative treatment of fractures of the thoracolumbar spine. Int Orthop 29(2):78–82PubMedCrossRef
16.
Tropiano P, Huang RC, Louis CA, Poitout DG, Louis RP (2003) Functional and radiographic outcome of thoracolumbar and lumbar burst fractures managed by closed orthopaedic reduction and casting. Spine (Phila Pa 1976) 28(21):2459–2465CrossRef
17.
Wood K, Buttermann G, Mehbod A, Garvey T, Jhanjee R, Sechriest V, Butterman G (2003) Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study. J Bone Joint Surg Am 85(5):773–781PubMed
18.
Verlaan JJ, Diekerhof CH, Buskens E et al (2004) Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine 29:803–814PubMedCrossRef
19.
Knop C, Bastian L, Lange U, Oeser M, Zdichavsky M, Blauth M (2002) Complications in surgical treatment of thoracolumbar injuries. Eur Spine J 11(3):214–226PubMedCrossRef
20.
Nasser R, Yadla S, Maltenfort MG, Harrop JS, Anderson DG, Vaccaro AR, Sharan AD, Ratliff JK (2010) Complications in spine surgery. J Neurosurg Spine 13(2):144–157PubMedCrossRef
21.
Kawaguchi Y, Matsui H, Tsuji H (1994) Back muscle injury after posterior lumbar spine surgery. Part 1: histologic and histochemical analyses in rats. Spine 19:2590–2597PubMedCrossRef
Metadata
Title
Complications in minimally invasive percutaneous fixation of thoracic and lumbar spine fractures and tumors
Authors
Alessandro Gasbarrini
Michele Cappuccio
Simone Colangeli
Maria Dolores Posadas
Riccardo Ghermandi
Luca Amendola
Publication date
01-11-2013
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue Special Issue 6/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-013-3019-7

Other articles of this Special Issue 6/2013

European Spine Journal 6/2013 Go to the issue

Review Article

Disappearance of degenerative, non-inflammatory, retro-odontoid pseudotumor following posterior C1–C2 fixation: case series and review of the literature

Original Article

Do benefits overcome the risks related to surgery for adult scoliosis? A detailed analysis of a consecutive case series

Original Article

Instrumented fusion surgery in elderly patients (over 75 years old): clinical and radiological results in a series of 53 patients

Original Article

Treatment of severe scoliosis with posterior-only approach arthrodesis and all-pedicle screw instrumentation

Original Article

Compensatory mechanisms contributing to keep the sagittal balance of the spine

Original Article

Navigation-assisted surgery for tumors of the spine