Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2-year experience.

Mor Japar Khan, Ed Simor Khan and Kow, Ren Yi (2019) Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2-year experience. In: 1st Minimally Invasive Spine Week of Thailand Congress / 3rd International Society of Endoscopic Spine Surgery (ISESS) Congress, 5th-8th November 2019, Le Méridien Chiang Mai Hotel. (Unpublished)

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Abstract

Introduction: Majority of the traumatic spine injuries are located at the thoracolumbar region. They can be compression fractures, burst fractures, flexion-extension injuries (Chance fractures), dislocations, or any of the combination. Surgery is indicated for patients with thoracolumbar injury classification scoring (TLICS) of 4 or more. Traditionally, surgical approaches for thoracolumbar spinal injuries involve open surgery, instrumentation with/without decompression. In our previous study, open surgery for traumatic thoracolumbar injuries and history of blood transfusion have been found to be associated with higher risk of deep surgical site infection requiring surgical debridement. With the advent of modern implants and equipments, minimally invasive surgery (MIS) has been made possible for spine surgeries. We report our two-year experience in utilizing MIS to treat traumatic thoracolumbar spinal injuries. Material and Methods: Patients who underwent spinal surgeries at International Islamic University Malaysia Medical Centre and Hospital Tengku Ampuan Afzan, Kuantan from July 2017 to July 2019 were screened for suitability to be included in this study. Only patients who underwent spinal minimally invasive surgeries have been included in this study. Patients who underwent open spinal surgeries were excluded. Results: A total of 9 patients were included in this study. There were 4 burst fractures and 5 chance fractures. All patients underwent a minimum of 4-level posterior spinal instrumented fusion with MIS techniques and 2 patients had laminectomy at the injured level for decompression. All but one patient did not require blood transfusion and there was no incidence of surgical site infection among these patients. Conclusion : Minimally invasive surgery (MIS) is a better option compared to open surgery in treating traumatic thoracolumbar spinal injuries. By minimizing the surgical incision, we are able to reduce blood loss and avoid deep surgical site infection.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	5579/77114
Uncontrolled Keywords:	thoracolumbar spinal
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Mr. Mohd Zulfadzli Ibrahim
Date Deposited:	02 Jan 2020 16:34
Last Modified:	02 Jan 2020 16:34
URI:	http://irep.iium.edu.my/id/eprint/77114

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