fracturas tóracolumbares]]> Material y métodos: Analizamos una serie de 26 pacientes con fracturas traumáticas tóraco-lumbosacras entre 2010-2017.
Las imágenes pre-operatorias fueron clasificadas usando la clasificación AO. Analizamos en forma pre y post operatoria:
escala visual analógica, volumen de pérdida sanguínea, duración de la hospitalización, complicaciones, cirugías asociadas en
otros órganos, extracción de implantes en el largo plazo, estado neurológico pre y post quirúrgico y mortalidad.
Los pacientes con historias clínicas completas, TAC pre-operatoria y un seguimiento mínimo de 12 meses fueron incluidos (18
hombres y 8 mujeres). La edad promedio fue de 28.7 años (21-84 años); seguimiento promedio de 28 meses (13-86 meses).
Dieciocho pacientes fueron manejados con instrumentaciones percutáneas, 8 recibieron vertebroplastias, y en 5 casos se
realizó además algún gesto de artrodesis.
Resultados: La EVA mejoró 7 puntos promedio respecto al pre-operatorio; el promedio de sangrado fue de 40 mL, no
observamos ningún caso de empeoramiento neurológico. La duración promedio de la hospitalización fue de 3.9 días. Cuatro
enfermos necesitaron alguna cirugía en otro órgano producto de sus politraumatismos.
Los tornillos percutáneos fueron removidos en 9 casos luego de la consolidación. Como complicaciones tuvimos: 1 hematoma
retroperitoneal autolimitado, una fractura pedicular y una cánula de cementación rota adentro de un pedículo.
Conclusión: La cirugía mínimamente invasiva en trauma espinal es una alternativa válida que permite estabilización,
movilización precoz y logra buenos resultados en términos de control del dolor con baja tasa de complicaciones]]> invasive surgery.
Methods: We retrospectively review the charts and images of 26 patients with thoracolumbar spine fractures between 2010-2017.
Pre-op images were assessed and fractures were classified according to the thoraco-lumbar trauma AO Spine classification. We
analyzed pre and post-surgical visual analog scale (VAS), blood loss during surgery, hospital length of stay, complications, associated
surgical procedures, long term post-op implant removal, pre and post neurological status and mortality.
Patients with a complete case record, pre-op CT scans and minimum 12-month follow up were included (18 males and 8 females).
Mean age was 28.7 years (21-84 years); mean post-op follow up was 28 month (13-86 months). Eighteen patients were managed
with percutaneous instrumentation, 8 patients also received percutaneous vertebroplasty, and 5 patients underwent also some
arthrodesis procedure.
Results: VAS improved 7 points as compared to the pre-op score; mean blood loss was 40 mL, we did not observed any
neurological deficit worsening. Mean hospital length of stay was 3.9 days. Four patients needed surgical procedures involving other
organs due to politrauma.
Percutaneous screws were removed in 9 cases after fracture consolidation. Complications were: one case of self-limiting
retroperitoneal hematoma, one case of pedicle screw fracture and one cement broken cannula into the pedicle.
Conclusion: Minimally invasive surgery in spine trauma is a valid option allowing stabilization, early mobilization, and leading to good
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