1 fracture http://www.selleckchem.com/products/PF-2341066.html treated with cemented fenestrated screw and kyphoplasty. In one case, the fracture stabilization was associated with a minimally invasive endoscopic-assisted discectomy and interbody fusion for a preexisting symptomatic degenerative disc-disease at the same level. In another case where T11, T12, and L3 type A fractures were associated with L1 and L2 type B fractures, we performed a percutaneous stabilization from T10 to L4 and an L1-L2 arthrodesis with a miniopen approach (Figure 2). Figure 2 T11, T12, and L3 type A fractures associated with L1 and L2 type B fractures. Percutaneous stabilization from T10 to L4 and L1-L2 arthrodesis with a miniopen approach. In no other case fusion was associated to the MIS. To monotrauma patients with type A1, A2, and A3.

1 fractures without significant stenosis of the spinal canal, a conservative option consisting of cast and bed rest was also offered but was rejected in 85% of cases. In all cases, the impairment of the spinal canal was less than 30%, and local kyphosis was less than 20�� except in one case. All patients underwent plain radiographs and CT scan preoperatively and immediately postoperatively and were followed over time with systematic clinical and radiographic controls at 1, 3, 6, 12, and 24 months after surgery. 3. Results The average surgical time was 113 minutes (range 35 to 240 minutes), and it was directly related to the number of screws implanted: the average time, reduced to 106 minutes using 4 pedicle screws, becomes 144 minutes with 6 screws and 171 minutes with 8 screws. Blood losses were not assessable intraoperatively.

Postoperative analgesia was performed in all cases with a 36-hour lasting elastomeric pump containing an opioid and an NSAID. All monotrauma patients recovered the standing position in the second postoperative day on the average and were discharged on the fifth day. In polytrauma patients has been granted an immediate mobilization in the bed. The mean followup was 38 months, with a minimum of 6 months and a maximum of 72 months. All the cases, except one, have been considered healed after a 6-month control. Radiological examinations confirmed good spontaneous reconstruction of the anterior and posterior columns. Radiographic evaluation was performed through the measurement of the segmental kyphosis and the wedging deformity of the involved vertebral body [6].

Back pain, evaluated by VAS scale was 1.9 points at FU. Clinical evaluation was performed by subjective evaluation of the final results by patients themselves, and every patient was satisfied of surgical procedure. Radiographic evaluation showed a real improvement in the postoperative period (segmental kyphosis: 4.1 preop, ?2.2 postop, and 2.7FU kyphosis of the fractured vertebral segment: 12.2 preop, 5.9 postop, and 8.7 FU), but also a worsening of the segmentary kyphosis in the cases treated with CD Horizon Longitude (6.4 preop, 3.5 postop, and 7.8 FU) if implanted Cilengitide with multiaxial screws.