Aaron P Danison1, Darrin J Lee1, Ripul R Panchal2. 1. Department of Neurological Surgery, Davis Medical Center, University of California, 4860 Y Street, Suite 3740, Sacramento, CA, 95817, USA. 2. Department of Neurological Surgery, Davis Medical Center, University of California, 4860 Y Street, Suite 3740, Sacramento, CA, 95817, USA. rrpanchal@ucdavis.edu.
Abstract
PURPOSE OF REVIEW: We will review the recent literature concerning the necessity of supplemental fusion to spinal instrumentation and discuss if temporal spinal fixation is a viable option for the treatment of unstable spine fractures. Advancements in minimally invasive techniques offer an alternative approach to traditional open stabilization for unstable spine fractures. The use of minimally invasive surgery offers many advantages concerning operative morbidly; fusion is not utilized and instrumentation can be removed in a delayed fashion. RECENT FINDINGS: There are limited differences in amount of correction loss over time, and multiple studies report equivocal to superior results in patient's functional outcomes when comparing temporary internal stabilization to long segment instrumentation with fusion. Removal of implants can restore segmental motion. Review of the literature demonstrates that temporary internal stabilization for unstable fractures is a viable option. Close clinical and radiographic follow-up is recommended to avoid delayed spinal deformity.
PURPOSE OF REVIEW: We will review the recent literature concerning the necessity of supplemental fusion to spinal instrumentation and discuss if temporal spinal fixation is a viable option for the treatment of unstable spine fractures. Advancements in minimally invasive techniques offer an alternative approach to traditional open stabilization for unstable spine fractures. The use of minimally invasive surgery offers many advantages concerning operative morbidly; fusion is not utilized and instrumentation can be removed in a delayed fashion. RECENT FINDINGS: There are limited differences in amount of correction loss over time, and multiple studies report equivocal to superior results in patient's functional outcomes when comparing temporary internal stabilization to long segment instrumentation with fusion. Removal of implants can restore segmental motion. Review of the literature demonstrates that temporary internal stabilization for unstable fractures is a viable option. Close clinical and radiographic follow-up is recommended to avoid delayed spinal deformity.
Authors: Hilary W Alpert; Frances A Farley; Michelle S Caird; Robert N Hensinger; Ying Li; Kelly L Vanderhave Journal: J Pediatr Orthop Date: 2014-09 Impact factor: 2.324