![]() ![]() The objective of the study will be to compare the results of treatment of thoracolumbar spine fractures through the open approach (conventional surgery) or percutaneous (minimally invasive) approach with a pedicle fixation system without vertebral arthrodesis. There are few reports of prospective and randomized trials on this subject and its implementation has been stimulated to increase the level of evidence related to the surgical treatment of thoracolumbar spine fractures. Conventional surgical treatment has been performed by means of fixation and posterior arthrodesis of the vertebral segment using pedicle fixation systems with or without arthrodesis The scientific challenge of the project is to carry out this method of pioneering study in our country, as no prospective randomized clinical trial has been performed in our country to compare the outcome of surgical treatment of thoracolumbar spine fractures through conventional open surgery or surgery Minimally invasive percutaneous. Surgical treatment of thoracolumbar spine fractures has been indicated in unstable fractures with the aim of stabilizing the fractured vertebral segment and allowing early rehabilitation without the use of external immobilization and rest in the bed. Two-thirds of these fractures occur in the thoracolumbar transition between T11 and L2 (50% of thoracic spine fractures at T12 level and 60% of lumbar spine fractures at L1 level). Introduction: Fractures of the thoracic and lumbar spine are the most frequent fractures of the axial skeleton, and correspond to about 89% of vertebral fractures. Procedure: Conventional open surgery Procedure: Minimally invasive percutaneous surgery The study results will impact the guidelines of the surgical treatment of thoracolumbar spine fractures and may indicate the advantages or disadvantages of using surgery through conventional open approach to minimally invasive percutaneous surgery. Patients will be evaluated in the preoperative, postoperative, 1,2,3,6,12 and 24 months by parameters related to the perioperative (intraoperative bleeding, surgery time), clinical (VAS, SF-36, HADS, EQ-5D-5L), images (radiographs and computed tomography). The objective of the study is to compare the surgical treatment of fractures of the thoracolumbar spine using the conventional open approach or minimally invasive percutaneous approach to the stabilization of the vertebral segment affected, and using similar type of pedicle spinal fixation system. ![]() The performance of prospective randomized clinical trials have been required for the evaluation of the benefits of minimally invasive surgery in the treatment of the thoracolumbar spine fractures. However, predominates in the literature of clinical case reports and few prospective and randomized clinical trials. It has been reported the lowest bleeding intra- and postoperative period, less pain, shorter hospital stay, rehabilitation and return to work faster with less use of minimally invasive percutaneous approach of the spine. The percutaneous minimally invasive surgery was introduced in the context of spinal surgery to reduce the morbidity associated with conventional open approach. Surgical treatment has been performed by conventional open approach through the posterior incision on the midline, and detachment and removal of paraspinal muscles to access the posterior vertebral elements. Surgical treatment has been performed through the posterior fixation pedicle fixation systems, and where necessary complemented by decompression of the spinal arthrodesis and previous channel. The thoracolumbar segment fractures are the most frequent along the spine, and surgical treatment is indicated in unstable fractures. Why Should I Register and Submit Results?. ![]()
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