• Panagiotis Korovessis, Eva Mpountogianni, and Vasilleios Syrimpeis.
• Orthopaedic Department General Hospital Patras, Patras, Greece. korovess@otenet.gr.
• Eur Spine J. 2017 May 1; 26 (5): 1492-1498.

DesignRetrospective cohort.PurposeThe aim of this study is to evaluate the effectiveness of percutaneous short fixation (PSFx) plus kyphoplasty (BP) for thoracolumbar fractures.MethodsThirty-six consecutive selected patients, aged 59 ± 17 years, with fresh single thoracolumbar A2, A3, and B2 AO-type fracture, received PSFx plus BP. The primary outcomes pain, and vertebral body deformity; and the secondary outcomes screw malposition, facet violation, PMMA leakage, adjacent segment degeneration (ASD) and loss of correction were evaluated. The f/up was 31 ± 7 months.ResultsPain and kyphosis decreased and vertebral body heights increased significantly postoperation. PMMA leakage occurred in five cases; 6 (4 %) screws were grades III malpositioned in relation to pedicle; facet violation occurred in 8 (5.5 %) facets; loss of kyphosis correction was 3.68°; ASD occurred in two cases; interfacet fusion in ten (28 %) patients; Three patients were reoperated for different reasons.ConclusionsPSFx plus BP for thoracolumbar fractures reduces significantly spinal deformity and pain with few complications.

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