Alexandra E Thomson1, J Alex Thomas2, Ivan Ye1, Joshua Olexa3, Vincent Miseo1, Kendall Buraimoh1, Daniel L Cavanaugh1, Eugene Y Koh1, Steven C Ludwig4. 1. Division of Spine Surgery, Department of Orthopaedic Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA. 2. Atlantic Neurosurgical and Spine Specialists, Wilmington, NC, USA. 3. Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, USA. 4. Division of Spine Surgery, Department of Orthopaedic Surgery, University of Maryland Medical Center, 110 S. Paca Street, 6th Floor, Ste. 300, Baltimore, MD, 21201, USA. sludwig@som.umaryland.edu.
Abstract
STUDY DESIGN: Retrospective Case Series. OBJECTIVES: This study aims to determine complications, readmission, and revision surgery rates in patients undergoing single position surgery (SPS) for surgical treatment of traumatic and pathologic thoracolumbar fractures. METHODS: A multi-center review of patients who underwent SPS in the lateral decubitus position (LSPS) for surgical management of traumatic or pathologic thoracolumbar fractures between January 2016 and May 2020 was conducted. Operative time, estimated blood loss (EBL), intraoperative complications, postoperative complications, readmissions, and revision surgeries were collected. RESULTS: A total of 12 patients with a mean age of 45 years (66.67% male) were included. The majority of patients underwent operative treatment for acute thoracolumbar trauma (66.67%) with a mean injury severity score (ISS) of 16.71. Mean operative time was 175.5 min, mean EBL of 816.67 cc. Five patients experienced a complication, two of which required revision surgery for additional decompression during the initial admission. All ambulatory patients were mobilized on postoperative day 1. The mean hospital length of stay (LOS) was 9.67 days. CONCLUSION: The results of this case series supports LSPS as a feasible alternative to the traditional combined anterior-posterior approach for surgical treatment of pathologic and thoracolumbar fractures. These results are similar to reductions in operative time, EBL, and LOS seen in the elective spine literature with LSPS. LEVEL OF EVIDENCE: IV.
STUDY DESIGN: Retrospective Case Series. OBJECTIVES: This study aims to determine complications, readmission, and revision surgery rates in patients undergoing single position surgery (SPS) for surgical treatment of traumatic and pathologic thoracolumbar fractures. METHODS: A multi-center review of patients who underwent SPS in the lateral decubitus position (LSPS) for surgical management of traumatic or pathologic thoracolumbar fractures between January 2016 and May 2020 was conducted. Operative time, estimated blood loss (EBL), intraoperative complications, postoperative complications, readmissions, and revision surgeries were collected. RESULTS: A total of 12 patients with a mean age of 45 years (66.67% male) were included. The majority of patients underwent operative treatment for acute thoracolumbar trauma (66.67%) with a mean injury severity score (ISS) of 16.71. Mean operative time was 175.5 min, mean EBL of 816.67 cc. Five patients experienced a complication, two of which required revision surgery for additional decompression during the initial admission. All ambulatory patients were mobilized on postoperative day 1. The mean hospital length of stay (LOS) was 9.67 days. CONCLUSION: The results of this case series supports LSPS as a feasible alternative to the traditional combined anterior-posterior approach for surgical treatment of pathologic and thoracolumbar fractures. These results are similar to reductions in operative time, EBL, and LOS seen in the elective spine literature with LSPS. LEVEL OF EVIDENCE: IV.
Keywords:
Combined anterior–posterior fixation; Single position surgery (SPS); Single position surgery in lateral decubitus position (LSPS); Thoracolumbar trauma; Unstable burst fracture
Authors: Alexander R Vaccaro; Ronald A Lehman; R John Hurlbert; Paul A Anderson; Mitchel Harris; Rune Hedlund; James Harrop; Marcel Dvorak; Kirkham Wood; Michael G Fehlings; Charles Fisher; Steven C Zeiller; D Greg Anderson; Christopher M Bono; Gordon H Stock; Andrew K Brown; Timothy Kuklo; F C Oner Journal: Spine (Phila Pa 1976) Date: 2005-10-15 Impact factor: 3.468
Authors: J J Verlaan; C H Diekerhof; E Buskens; I van der Tweel; A J Verbout; W J A Dhert; F C Oner Journal: Spine (Phila Pa 1976) Date: 2004-04-01 Impact factor: 3.468
Authors: Alexander R Vaccaro; Moe R Lim; R John Hurlbert; Ronald A Lehman; James Harrop; D Charles Fisher; Marcel Dvorak; D Greg Anderson; Steven C Zeiller; Joon Y Lee; Michael G Fehlings; F C Oner Journal: J Spinal Disord Tech Date: 2006-02