Minimally invasive approach and posterior instrumental arthrodesis in earthquake-related vertebral fractures
Signa Vitae, cilt.21, sa.7, ss.82-89, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 7
- Basım Tarihi: 2025
- Doi Numarası: 10.22514/sv.2025.100
- Dergi Adı: Signa Vitae
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE
- Sayfa Sayıları: ss.82-89
- Anahtar Kelimeler: Spinal fractures, Cementoplasty, Minimally invasive surgical procedures, Natural disasters
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: On the morning of 06 February 2023, a devastating earthquake of magnitude 7.8 occurred, affecting the south and east of Turkey and the north and west of Syria. High-energy traumas, like earthquakes can cause vertebral burst fractures. In surgical treatment, arthrodesis with pedicle screw-rods or minimally invasive percutaneous systems are often applied depending on the patient’s condition. A comparative analysis was conducted to evaluate the efficacy and outcomes of surgical interventions for thoracolumbar vertebra fractures caused by seismic events. The techniques examined included classical pedicle screws and rods, as well as minimally invasive percutaneous cementoplasty. Methods: The study included 42 patients who had undergone surgery at the Neurosurgery Clinic of Kayseri City Hospital, Kayseri, Turkey, with a diagnosis of burst fracture subsequent to the earthquake. The surgical approach employed was either classical open surgery with the use of screws and rods or minimally invasive vertebral cementoplasty. Results: In this retrospective study, comprising 23 females (54.8%) and 19 males. A minimally invasive procedure was performed in 25 patients (59.5%), an instrumental procedure in 15 patients (35.7%), and a combination of both in 2 patients (4.8%). Patients who underwent instrumental surgery were younger, while patients who underwent minimally invasive surgery were older (p < 0.05). Conclusions: In vertebral fractures caused by earthquakes, the results obtained with pedicle screwing and minimally invasive methods were consistent with those reported in the literature. Minimally invasive treatment was also frequently preferred and had good results similar to open surgery and faster recovery times.