Transpedicular decompression for painful AO Spine type A1 thoracic and lumbar compression fractures: case series study

Objective. To analyze dynamics of vertebrogenic pain syndrome and quality life after transpedicular decompression in patients with depressed fractures the thoracic lumbar spine. Material Methods. An observational prospective pilot study included 10 AO Spine type A1 spine operated on 2020–2021. All underwent decompression. Severity according to VAS, ODI score, magnitude apical kyphosis were studied preoperative period at 3 day, 1, 3, 6 12 month postoperative follow-up. Results. The age was 35–70 years (median 46). ratio men women 1 : 4. By localization, distributed as follows: T10 – patient (10 %), T11 L2 2 (20 T12 (30 %) L1 %). Statistically significant regression VAS from 9.5 (7.3; 10.0) (1.0; 2.0) scores during year (χ = 35.5, df 4, p < 0.001) observed. Noteworthy a rapid days 4.5 (4.0; 6.0) decrease score improvement 69.0 (58.5; 82.0) 9.0 (4.8; 10.8): χ 36.8, df4, 0.001. During follow-up period, an increase Cobb segmental angle 5.3º°(4.1°; 6.7°) 9.7°(8.4°; 12.5°) (p 0.005) observed all patients. However, this did not affect intensity back or Newly occurring fractures, Kümmel’s disease complications identified. Instrumental diagnostics revealed spontaneous fusion fracture level first cases. Conclusion. Transpedicular is effective, safe pathogenetically substantiated method treating associated spinal fracture.