Complications in minimally invasive percutaneous fixation of thoracic and lumbar spine fractures and tumors

Eur Spine J. 2013 Nov;22 Suppl 6(Suppl 6):S965-71. doi: 10.1007/s00586-013-3019-7. Epub 2013 Sep 21.

Abstract

Purpose: We propose to evaluate the complication rate in minimally invasive stabilization (MIS) for spine fractures and tumors, as a common alternative to open fusion and conservative treatment.

Methods: From 2000 to 2010, 187 patients were treated by minimally invasive percutaneous fixation in 133 traumatic fractures and 54 primitive and/or secondary spine tumors. Complications were classified, according to the period of onset as intraoperative and postoperative, and according to the severity, as major and minor.

Results: A total of 15 complications (8 %) were recorded: 5 intraoperative (3 %), 6 early postoperative (3 %) and 4 late postoperative (2 %); 6 were minor complications (3 %) and 9 were major complications (5 %).

Conclusions: Minimally invasive stabilization of selected spine pathologies appears to be a safe technique with low complication rate and high patient satisfaction. MIS reduces hospitalization and allows a fast functional recovery improving the quality of life.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Lumbar Vertebrae / surgery*
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / adverse effects*
  • Minimally Invasive Surgical Procedures / instrumentation
  • Minimally Invasive Surgical Procedures / methods*
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Spinal Fractures / surgery*
  • Spinal Fusion / adverse effects*
  • Spinal Fusion / instrumentation
  • Spinal Fusion / methods*
  • Spinal Neoplasms / surgery*
  • Young Adult