Comparative Analysis of Open vs Percutaneous Transpedicular Fixation in Thoracolumbar Fractures Including its Ssi Rate and Associated Causes

Abstract

Background: Thoracolumbar fractures are the most common fractures that occur due to high-energy trauma. There are two main methods for transpedicular fixation: open and percutaneous each of which has different advantages as well as disadvantages. Objective: To rule out which technique has the better outcomes for the patient and what are the common causes of surgical site infection rate. Methodology: A comparative cohort study is conducted at PINS and a total of 160 patients are selected 90 patients are added in group A and 70 in group B. Our inclusion criteria are both males and females of all ages. Patients who have different spinal injuries, complete cord injuries, and those patients who refused to fill out consent forms are excluded from the study. Results: Percutaneous fixation technique has a significant value with the duration of the procedure, blood loss, implant failure, time to return to the normal routine, and SSI. Post-operative pain and nerve injury have no significant effect in both surgeries. Usage of improper sterilization techniques, hypothermia, and comorbidity are the most common causes of SSI. Operative time and blood loss have no statistically significant correlation with. Conclusion: Percutaneous fixation technique has favorable outcomes as compared to open fixation and has better outcomes on the quality of life of the patient.

Key Words- Thoracolumbar fracture, percutaneous transpedicular screw fixation, open transpedicular screw fixation, surgical site infection.