title: Minimal Invasive Circumferential Management of Thoracolumbar Spine Fractures.
abstract: BACKGROUND
  While thoracolumbar fractures are common lesions, no strong consensus is available at the moment.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the results of a minimal invasive strategy using percutaneous instrumentation and anterior approach in the management of thoracolumbar unstable fractures.
  
  
  METHODS
  39 patients were included in this retrospective study. Radiologic evaluation was based on vertebral and regional kyphosis, vertebral body height restoration, and fusion rate. Clinical evaluation was based on Visual Analogic Score (VAS). All evaluations were done preoperatively and at 1-year follow-up.
  
  
  RESULTS
  Both vertebral and regional kyphoses were significantly improved on postoperative evaluation (13° and 7° versus -1° and -9°  P < 0.05, resp.) as well as vertebral body height (0.92 versus 1.16, P < 0.05). At 1-year follow-up, mean loss of correction was 1°. A solid fusion was visible in all the cases, and mean VAS was significantly reduced form 8/10 preoperatively to 1/10 at the last follow-up.
  
  
  CONCLUSIONS
  Management of thoracolumbar fractures using percutaneous osteosynthesis and minimal invasive anterior approach (telescopic vertebral body prosthesis) is a valuable strategy. Results of this strategy offer satisfactory and stable results in time.
authors.affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Pesenti
authors.affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.
authors.forename: T
authors.initials: T
authors.lastname: Graillon
authors.affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.
authors.forename: N
authors.initials: N
authors.lastname: Mansouri
authors.affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.
authors.forename: P
authors.initials: P
authors.lastname: Rakotozanani
authors.affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Blondel
authors.affiliation: Spine Unit, Aix-Marseille Université, CHU Timone, 264 rue Saint-Pierre, 13005 Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Fuentes
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries / Q000601:surgery*; D055815:Young Adult