Outcome of Transpedicular Fixation in Thoracolumbar Fractures

Objective:  The purpose of this study was to assess the clinical improvement in the post-op period in patients with thoracolumbar fractures who underwent transpedicular fixation. Materials and Methods:  A retrospective study was conducted for 6 months in the Neurosurgery departments of private hospitals in Quetta. A total of 34 patients with trauma were included in the study who underwent Transpedicular screws and rods fixation (Including both long and short segment fixation). American Spinal Injury Association (ASIA) impairment scale was used to describe the individual’s functional impairment from spinal cord injury. Preoperative and postoperative comparison within 6 months. Results:  There were 22 male and 12 female patients. The patients were between 18-45 years of age. There were 16 cases of the following vertebral fractures: D9, D10, D12, L1 in ASIA-A and ASIA-B grades. There were 6 cases of the following vertebral fractures: L1, L2 in ASIA-C grades. And 12 cases of L2, L3 vertebral fractures in ASIA-D and ASIA-E Grades. In ASIA Grade A, 25% of patients improved to ASIA C and 12.5% of patients improved to ASIA D postoperatively.  In ASIA Grade B, 25% of patients improved to ASIA C, and 25% of patients improved to ASIA-D post-operatively. In Asia-C Grade, 16.6% of patients improved to ASIA E, and 50% of patients improved to ASIA D postoperatively. Conclusion:  In a considerable proportion of individuals, surgery resulted in superior clinical results. ASIA Grades A and B should also be operated early for greater clinical improvement. Keywords:  Transpedicular Fixation, Thoracolumbar fractures, ASIA Scores