Health Condition 1: S320- Fracture of lumbar vertebra Health Condition 2: S220- Fracture of thoracic vertebra
Conditions
Interventions
Intervention1: Percutaneous pedicle screw fixation for thoracolumbar spine fractures.: Under general anesthesia, patients positioned in prone on a radiolucent table for spine surgery with chest, abdom
the guide wire was then removed after adequate positioning of the screw. Using the same approach, pedicle screws are inserted into above and below the fractured vertebra including the fractured level.
Sponsors
Jawaharlal Institute of Postgraduate Medical Education Research
Eligibility
Inclusion criteria
Inclusion criteria: Adults of both sexes aged 18 years or over, with a radiologically confirmed, recent (less than or at one week) isolated thoracolumbar fracture without neurodeficit and obvious PLC injury.
Exclusion criteria
Exclusion criteria: ANY Patients with a preferred choice of treatment modality Polytrauma patients Patients with other associated musculoskeletal trauma Pathological fractures of vertebral body. Previous spine surgeries. Presence of back pain prior to thoracolumbar fractures. Patients with obvious PLC disruption on radiological evaluation Pregnant patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In patients of thoracolumbar fractures without obvious PLC injury and without neurological deficit, treated by percutaneous fixation vs no fixation, To compare the intensity of pain (measured by vas score) between the 2 groups at the end of 3 weeks since time of injury. Timepoint: 3 weeks since time of injury. | — |
Secondary
| Measure | Time frame |
|---|---|
| In patients of thoracolumbar fractures without PLC injury and without neurological deficit, treated by percutaneous fixation vs no fixation, To compare between the 2 groups the radiological outcome measured by cobbs angle at the end of 3 weeks.Timepoint: 3 weeks since time of injury.;In patients of thoracolumbar fractures without PLC injury and without neurological deficit, treated by percutaneous fixation vs no fixation, to compare between the 2 groups, the extent of disability measured by ODI score, EUROQOL-5D, return to work (Denis work scale), number of days of hospital stay and analgesic usage at end of 3 weeks since time of injury Timepoint: 3 weeks since time of injury.;In patients of thoracolumbar fractures without PLC injury and without neurological deficit, treated by percutaneous fixation vs no fixation, To identify and record any complications arising due to treatment irrespective of which treatment given among the two groups at the end of 3 weeksTimepoint: 3 weeks since time of injury. | — |
Countries
India
Contacts
Public ContactDuddukunta Vishal Reddy
JIPMER
Outcome results
None listed