Abstract

Background: Minimally invasive surgery (MIS) has emerged as a significant advancement in spinal surgery, offering an alternative to conventional open surgery for thoracolumbar fractures. This approach may reduce bleeding risk, infection, and postoperative recovery time. Aim This study aims to describe a case series of traumatic thoracolumbar fractures managed using minimally invasive spinal surgery techniques. Materials and Methods: In this case series an analysis included 11 patients who had experienced thoracolumbar fractures and underwent percutaneous minimally invasive surgery between 2017 and 2022 treated at Federico Lleras Acosta Hospital in Colombia. Fractures were classified using the AO spine classification. Clinical and radiological evaluations were performed with to assess surgical outcomes. Results: The case series encompassed a variety of fracture types and severities. Patients experienced improvements in pain, neurological deficits, and deformities postoperatively. The visual analog scale (VAS) pain score displayed a marked decline in the surgical cohort as opposed to the conservatively managed patients. Hemorrhage exhibited a remarkable decrease within the minimally invasive cohort, and patients exhibited faster recovery and reduced hospital stays. Radiological assessments showed proper alignment, stabilization, and improved bone healing. Conclusions: Opting for minimally invasive procedures to address thoracolumbar fractures presents various benefits when contrasted with open surgery. These advantages encompass diminished hemorrhage, expedited recuperation periods, and enhanced pain management. The approach effectively addresses various fracture types, allowing for proper alignment and stabilization. This study substantiates the effectiveness of employing minimally invasive methods for the treatment of thoracolumbar fractures. It highlights the potential for improved patient outcomes regarding pain relief, functional recovery, and reduced morbidity

Keywords

percutaneous surgery, thoracolumbar fracture, ao spine, minimal invasive surgery