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ORIGINAL ARTICLES
Year : 2023  |  Volume : 38  |  Issue : 1  |  Page : 11-17

Study on results of laminectomy with short-segment pedicle screw fixation in dorsolumbar fractures with respect to anatomical reduction, functional recovery and pain


Department of Orthopedics, Lala Lajpat Rai Memorial Medical College (LLRMMC), Meerut, Uttar Pradesh, India

Correspondence Address:
Deepanshu Maheshwari
Lala Lajpat Rai Memorial Medical College (LLRMMC), Meerut, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jbjd.jbjd_43_22

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Background: The aim of this study was to report the results of laminectomy with short-segment pedicle screw fixation in thoracolumbar fracture. Materials and Methods: Forty-two patients were analyzed prospectively, followed up in the outpatient department for the period of 24 months. Results: Most of the patients in the study had reasonable to good neurological recovery in the postoperative period assessed in the form of American Spinal Cord Injury Association (ASIA) score. There was also an excellent improvement in the components of anatomical reduction such as vertebral height, Cobb’s angle, and anterior wedge angle, which was directly related to functional recovery of the patient. Patients postoperatively also got relieved in pain in the dorsolumbar region assessed based on Denis pain scale. Conclusion: Laminectomy with pedicle screw fixation is an excellent option for patients with thoracolumbar fracture; it not only decompresses the spine but also provides stability with minimal manageable complications.


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