Get Adobe Flash player


Аuthors: M. V. Khyzhnjak, O. O. Potapov, O. F. Таnaseichuk, Ju. A. Bodnarchuk

Pages: 110–115



Uncomplicated compression fractures of thoraco-lumbar spine are quite common in clinical practice. Such fractures account for more than half of all fractures of the spine. The most common complaints of patients is local pain and radiculalgia. To reduce the trauma surrounding tissues, duration of surgery, prevention of bleeding, rapid rehabilitation and according to modern concepts of biomechanics widely implemented in practice minimally invasive transpedicular systems. In order to determine the degree of biomechanical properties of the affected vertebral-motor segment in trauma, proposed a number of methods. For the most accurate measurement used method of determining the angle of scoliotic deformation using the methods Cobb and Fergusson.

The results of the treatment received after the minimally invasive pedicle fixation in 34 patients with unstable thoracolumbar compression fractures, the average age of the patients – (53 ± 0.25) years. In the appropriate clinical and neurological symptoms in all patients we include the data from spondylography with morphometry and computer tomography (CT). 17 patients (50 %) with radicular pains additionally performed magnetic resonance imaging (MRI). We have made 34 surgical interventions, of which 16 cases were used stabilizing systems "Sextant", in 18 cases – "Stryker". All patients have been activated in the next 18–20 hours after setting the stabilizing systems. The average time patients stay in hospital was (3.7 ± 0.2) days. Noting the positive dynamics in the form of post-operative pain recourse. Thus, it was found that the mean score before surgery (VAS) was (8.94 ± 0.2) points, in the early period after surgery – 2.44 ± 0.1 in the interim – (1.62 ± 0.1) in the distant – (1.59 ± 0.1). The degree of kyphosis in all periods of observation after surgery does not fall as compared to the preoperative morphometry results. Thus, differentiated application of minimally invasive methods of treatment is a highly effective treatment for patients with unstable thoracolumbar compression fractures.

Keywords: trauma, fracture vertebrae, transpedicular fixation, post-traumatic deformity.

This email address is being protected from spambots. You need JavaScript enabled to view it.

The full text

To view the full text


  1. Lebedev NV. Problema objektivnoi ocenki tyaghesti sochetannoi travmu I mnoghestvennoi travmu [The problem of objective evaluation of the severity of associated trauma and multiple trauma]. Neurosurg. J. 2000; (4):54–58.
  2. Babichenko EI. [Spinal cord injury: risks and complications].Travma pozvonochnika s spinnogo mozga: opasnosti i osloghnenia: materialy simpoziuma. Novokuznetsk, 1994, pp. 121–124. (In Russian)
  3. Nikiforov AS, Konovalov AN, Gusev EI. Klinicheskaya neurologia [Clinical neurology]. Moskwa: Medicina Publ., 2004. 448 p.
  4. Defino H, Scarpao P. Fractures of thoracolumbar spine: monosegmental fixation . J. Injury. 2005;36(2):90–97.
  5. Sagdeev RR. Klinika i hirurgicheskoe lechenie syndroma nestabilnosti pozvonochnika. [Clinic and surgical treatment of the syndrome of spinal instability]. Kazan: Kazan national medical academy, 2009. 17 p.
  6. Levchenko SK, Dreval ON, Ilin AA. Eksperementalno-klinicheskoe obosnovanie transpedskularnoi stabilizacii pozvonochnika [Experimental and clinical study of functional transpedicular stabilization of the spine]. Journal of Neurosurgery questions Burdenko by name 2004; (1):26–32.
  7. Pitkanen MT, Manninen HI, Lindgren KA, Sihvonen TA, Airaksinen O, Soimakallio S. Segmental lumbar spine instability at flexion-extension radiography can be predicted by conventional radiography. J. Clin. Radiol 2002; 57:632–639.
  8. Bjarke CF, Stender HE, Laursen M, Thomsen K, Bunger CE. Long-term functional outcome of pedicle screw instrumentation as a support for posterolateral spinal fusion: randomized clinical studywith a 5-year follow-up. J. Spine 2002; 27:1269–1277.
  9. Pope MH, Panjabi M. Biomechanical definitions of spinal instability. J. Spine 1985; 10:255–256.
  10. Tihodeev SA. Mini-invazivnaja hiryrgia pozvonochnika [Minimally invasive spine surgery]. Sankt-Peterburg: Express Publ., 2005. 92 p.
  11. Palmisani M, Gasbarrini A, Brodano G. Minimally invasive percutaneous fixation in the treatment of thoracic and lumbar spine fractures. Eur. Spine J. 2009;18:71–74.
  12. Ni WF, Huang YX, Chi YL. Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures. Spinal Disord Tech. 2009;23(8):530–537.
  13. Movshovich IA, Ric IA. Rentgendiagnostika i princupu lechenia skolioza [X-rays diagnosis and principles of scoliosis treatment]. Мoscow. Medicina Publ.. 1969. 248 p.