Percutaneous versus open pedicle screw fixation for treatment of thoracolumbar fractures: Systematic review and meta-analysis of comparative studies

  title={Percutaneous versus open pedicle screw fixation for treatment of thoracolumbar fractures: Systematic review and meta-analysis of comparative studies},
  author={Kevin Phan and Prashanth J. Rao and Ralph Jasper Mobbs},
  journal={Clinical Neurology and Neurosurgery},

Percutaneous versus open pedicle screw fixation for treatment of type A thoracolumbar fractures

Both open and percutaneous short-segment pedicle fixation were safe and effective methods to treat thoracolumbar burst fractures.

A retrospective study comparing percutaneous and open pedicle screw fixation for thoracolumbar fractures with spinal injuries

PPSF has a smaller incision, less intraoperative blood loss, shorter recovery time, higher safety measures on average compared with OPSF with respect to managing thoracolumbar fractures with spinal injuries.

Analysis of outcome of percutaneous versus open pedicle screw fixation in the treatment of thoraco-lumbar spine fractures: a prospective comparative study

There were no significant differences in radiological and clinical outcomes and post-op complications between 2 groups but blood loss, operative time and hospitalization stay were less in percutaneous group, which may represent a potential benefit.

Comparison of posterior open screw fixation with percutaneous fixation among traumatic thoracolumbar fracture patients.

Minimally inavsive percutaneous posterior pedicles screw fixation had lesser operation time, blood loss, and hospital stay duration and greater fluoroscopic exposure than conventional open posterior pedicle screw fixation among patients with traumatic thoracolumbar fractures in the studied population.

Percutaneous Versus Open Pedicle Screw Fixation for Pyogenic Spondylodiscitis of the Thoracic and Lumbar Spine: Systematic Review and Meta-Analysis.

Employing PPS fixation to treat pyogenic spondylodiscitis of the thoracic and lumbar spine is associated with significantly reduced operating time, blood loss, postoperative pain, length of stay, and rates of wound infection than OPS fixation, with no difference between the 2 treatments in rates of screw misplacement or screw loosening.

Comparison of Percutaneous versus Open Pedicle Screw Fixation for Treating Unstable Thoracolumbar Fractures

For the treatment of unstable thoracolumbar fractures, the percutaneous pedicle screw fixation technique could achieve better clinical results and an improved segmental motion angle after implant removal within a year than that of the conventional fixation method.


PPSF spinal fracture treatment could reduce the amount of bleeding during surgery and reduce the length of hospital stay, however, the results of both types of surgery did not differ regarding postoperative pain, decreased kyphotic angle and surgical time.

Comparison between minimally invasive percutaneously and open pedicle screw fixation of thoracolumbar fracture

The purpose of the study is to compare the radiological and clinical results of thoracolumbar spine injury stabilized by standard open pedicle screw fixation (OPSF) and the MIPPSF system, and hypothesize that MipPSF technique will lead to decreased injury of soft tissue and perioperative complications.

Posterior segmental fixation for thoraco-lumbar and lumbar fractures: a comparative outcome study between open and percutaneous techniques.

Open and percutaneous posterior fixation techniques of thoracic and lumbar fractures in this cohort were associated with different perioperative blood losses as well as radiological measurements, but not with clinically meaningful differences in patient reported outcome measures at 24 months' follow-up.

Percutaneous pedicle screw fixation without arthrodesis of 368 thoracolumbar fractures: long-term clinical and radiological outcomes in a single institution

In this case series, PPSF for TL injuries demonstrated good long-term clinical-radiological outcomes, along with low complication and reoperation rates, and could be considered as a valuable treatment option for neurologically intact patients with TL fractures.



Comparison of Open Versus Percutaneous Pedicle Screw Fixation Using the Sextant System in the Treatment of Traumatic Thoracolumbar Fractures

Minimally invasive posterior stabilization using the Sextant system resulted in reduced injury compared with the open surgery, during both the internal fixation surgery and the implant removal surgery.

[Comparative percutaneous with open pedicle screw fixation in the treatment of thoracolumbar burst fractures without neurological deficit].

Percutaneous pedicle screw fixation for thoracolumbar fracture has the advantage of less trauma, quickly recovery and better esthetic outcome, however, it has the same results with the traditional open produce after 2 years of surgery.

Percutaneous pedicle screw fixation through the pedicle of fractured vertebra in the treatment of type A thoracolumbar fractures using Sextant system: an analysis of 38 cases.

The percutaneous pedicle screw fixation through the pedicle of fractured vertebra using Sextant system is a good minimally-invasive surgical therapeutic choice for patients with type A thoracolumbar fracture except for that the SPPSF has a little insufficiency in resuming the anterior height of the fractured vertebral body compared with OPSF.

Flexion-distraction injuries of the thoracolumbar spine: open fusion versus percutaneous pedicle screw fixation.

Minimally invasive percutaneous pedicle screw fixation appears to have similar efficacy in the treatment of flexion-distraction injuries and it allows for reduced blood loss and tissue damage compared with open surgical techniques.

[Percutaneous dorsal versus open instrumentation for fractures of the thoracolumbar border. A comparative, prospective study].

Evaluated whether a percutaneous dorsal instrumentation of thoracolumbar fractures prevents irreversible damage to the spinal muscles found it necessary to place an internal fixative, causing little iatrogenic damage to back muscles and only a minor perioperative blood loss.

Percutaneous short-segment pedicle screw placement without fusion in the treatment of thoracolumbar burst fractures: is it effective?: comparative study with open short-segment pedicle screw fixation with posterolateral fusion

Although both groups showed favorable clinical and radiologic outcomes at the final follow-up, PPSF without bone graft provided earlier pain relief and functional improvement, compared with open TPSF with posterolateral bony fusion.

Comparison of a Paraspinal Approach with a Percutaneous Approach in the Treatment of Thoracolumbar Burst Fractures with Posterior Ligamentous Complex Injury: A Prospective Randomized Controlled Trial

The paraspinal approach results in better surgical correction and is, therefore, recommended for patients without successful postural reduction, and the minimally invasive percutaneous approach appears to be better in cases of successfulPostural reduction.

Treatment of thoracolumbar trauma by short-segment percutaneous transpedicular screw instrumentation: prospective comparative study with a minimum 2-year follow-up.

This study confirms that the percutaneous transpedicular screw technique represents a viable option in the treatment of preselected thoracolumbar fractures and clinical, functional, and radiological results were at least the same as those achieved using the open technique after a 2-year follow-up.

Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures: a prospective trial

This study demonstrates the feasibility of placing percutaneous posterior thoracic and lumbar pedicle screws with the assistance of conventional fluoroscopy, an accurate, reliable and safe method to treat a variety of spinal disorders.

Percutaneous fixation of thoracolumbar fractures: current concepts.