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Eur Spine J. 2013 Nov;22 Suppl 6:S965-71. doi: 10.1007/s00586-013-3019-7. Epub 2013 Sep 21.

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

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1
Department of Oncological and Degenerative Spine Surgery, Rizzoli Orthopedics Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy.

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.

PMID:
24057199
PMCID:
PMC3830034
DOI:
10.1007/s00586-013-3019-7
[Indexed for MEDLINE]
Free PMC Article
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