Surgical fixation of pathologic and traumatic spinal fractures using single position surgery technique in lateral decubitus position

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 pat...

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Bibliographic Details
Published in:European spine journal 2022-09, Vol.31 (9), p.2212-2219
Main Authors: Thomson, Alexandra E., Thomas, J. Alex, Ye, Ivan, Olexa, Joshua, Miseo, Vincent, Buraimoh, Kendall, Cavanaugh, Daniel L., Koh, Eugene Y., Ludwig, Steven C.
Format: Article
Language:English
Subjects:
Complications
Decompression
Fractures
Medicine
Medicine & Public Health
Neurosurgery
Patients
Postoperative
Supplement Article
Surgery
Surgical Orthopedics
Trauma
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Summary: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.
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-022-07128-8