Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience

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 clas...

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Main Authors:	Kow, Ren Yi, Mor Japar Khan, Ed Simor Khan, Abd Jabar, Fauziana, Su, Yuen, Low, Chooi Leng
Format:	Conference or Workshop Item
Language:	English English
Published:	2019
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/75525/ http://irep.iium.edu.my/75525/ http://irep.iium.edu.my/75525/7/75525%20abstract.pdf http://irep.iium.edu.my/75525/8/75525%20poster.pdf

id	iium-75525
recordtype	eprints
spelling	iium-755252019-11-25T08:38:26Z http://irep.iium.edu.my/75525/ Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience Kow, Ren Yi Mor Japar Khan, Ed Simor Khan Abd Jabar, Fauziana Su, Yuen Low, Chooi Leng RD701 Orthopedics 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. Materials and methods Patients who underwent spinal surgeries at 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 8 patients were included in this study. There were 3 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. Discussions While minimally invasive spine surgery holds promise for reduced blood loss, faster patient recovery and shorter hospital stay, safety in spinal surgery remains paramount. Based on our two year experience in managing patients with traumatic thoracolumbar spinal injuries with MIS technique, it has been shown to be safe and effective. 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. 2019 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/75525/7/75525%20abstract.pdf application/pdf en http://irep.iium.edu.my/75525/8/75525%20poster.pdf Kow, Ren Yi and Mor Japar Khan, Ed Simor Khan and Abd Jabar, Fauziana and Su, Yuen and Low, Chooi Leng (2019) Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience. In: 5th Medical Research Symposium, 9th October 2019, Kuantan, Pahang. (Unpublished) https://www.iiumedic.net/mrs
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Kow, Ren Yi Mor Japar Khan, Ed Simor Khan Abd Jabar, Fauziana Su, Yuen Low, Chooi Leng Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience
description	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. Materials and methods Patients who underwent spinal surgeries at 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 8 patients were included in this study. There were 3 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. Discussions While minimally invasive spine surgery holds promise for reduced blood loss, faster patient recovery and shorter hospital stay, safety in spinal surgery remains paramount. Based on our two year experience in managing patients with traumatic thoracolumbar spinal injuries with MIS technique, it has been shown to be safe and effective. 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.
format	Conference or Workshop Item
author	Kow, Ren Yi Mor Japar Khan, Ed Simor Khan Abd Jabar, Fauziana Su, Yuen Low, Chooi Leng
author_facet	Kow, Ren Yi Mor Japar Khan, Ed Simor Khan Abd Jabar, Fauziana Su, Yuen Low, Chooi Leng
author_sort	Kow, Ren Yi
title	Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience
title_short	Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience
title_full	Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience
title_fullStr	Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience
title_full_unstemmed	Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience
title_sort	minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: a 2 year experience
publishDate	2019
url	http://irep.iium.edu.my/75525/ http://irep.iium.edu.my/75525/ http://irep.iium.edu.my/75525/7/75525%20abstract.pdf http://irep.iium.edu.my/75525/8/75525%20poster.pdf
first_indexed	2023-09-18T21:46:52Z
last_indexed	2023-09-18T21:46:52Z
_version_	1777413508165533696

Minimally invasive surgery in treatment of traumatic thoracolumbar spinal injuries: A 2 year Experience

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