Clinical Research
Mobile C-arm CT scan in surgery for thoracolumbar burst fractures of type A3
Haifeng Huang, Xiaobin Tian, Quan Xie, Bo Li, Xianteng Yang, Zhuojia Zhou, Weifeng Zhao, Zhi Peng, Shanshan Li, Yukun Shen, Chaoming Luo, Yuekui Jian
Published 2017-09-15
Cite as Chin J Orthop Trauma, 2017, 19(9): 810-813. DOI: 10.3760/cma.j.issn.1671-7600.2017.09.014
Abstract
ObjectiveTo discuss the application of mobile C-arm CT scan in the operations for thora-columbar burst fractures of type A3.
MethodsFrom January 2012 to December 2014, 21 patients with sin-gle-segment thoracolumbar burst fracture (AO type A3) were treated. They were 15 males and 6 females, aged from 17 to 68 years (average, 43.6 years). By the American Spinal Injury Association (ASIA) grading, one was grade A, 2 were grade B, 12 grade C, 4 grade D and 2 grade E. Preoperative CT examination was conducted. Mobile C-arm CT scan was performed to evaluate reduction of the fragments after the fracture was reset by posterior pedicle screwing. Laminotomy for canal decompression or reduction of the fragments would be performed if it was indicated by the results of mobile C-arm CT scan. CT examination was conducted postoperatively to assess the fracture re-duction and recovery of the canal calibre.
ResultsAll the patients were followed up for an average of 15.5 months (from 10 to 18 months). Their cobb angle, vertebral anterior margin compression rate, spinal occupancy rate, vertebral translocation rate and visual analogue score at postoperation and final follow-up were significantly improved compared with their preoperative values (P< 0.05), but there were no significant differences between postoperation and final follow-up in all the above indexes (P >0.05). Postoperative ASIA grading showed that the spinal function was improved from grade B to grade C in one, from grade C to grade D in 4 cases, from grade C to grade E in 5 cases, and from grade D to grade E in 3 cases.
ConclusionSince intraoperative C-arm CT scan can help decide whether laminectomy for canal decompression is conducted or not in the surgery of thoracolumbar burst fractures, it enhances the surgical safety and reliability.
Key words:
Thoracic vertebrae; Lumbar vertebrae; Fractures,bone; Fracture fixation,internal; C-arm CT
Contributor Information
Haifeng Huang
Medical College of Guizhou University, Guiyang 550025, China
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Xiaobin Tian
Medical College of Guizhou University, Guiyang 550025, China
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Quan Xie
College of Big Data and Information Engineering, Guizhou University, Guiyang 550025, China
Bo Li
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Xianteng Yang
Medical College of Guizhou University, Guiyang 550025, China
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Zhuojia Zhou
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Weifeng Zhao
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Zhi Peng
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Shanshan Li
Department of Anesthesiology, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Yukun Shen
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Chaoming Luo
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China
Yuekui Jian
Department of Orthopaedics, Guizhou Provincial People’s Hospital, Guiyang 550002, China