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dc.contributor.authorunicampMotta, Valeria Romero Vieira da-
dc.titleOpen versus minimally invasive percutaneous surgery for surgical treatment of thoracolumbar spine fractures- a multicenter randomized controlled trial: study protocolpt_BR
dc.contributor.authorDefino, Helton L. A.-
dc.contributor.authorCosta, Herton R. T.-
dc.contributor.authorNunes, Altacilio A.-
dc.contributor.authorBarbosa, Marcello Nogueira-
dc.contributor.authorRomero, Valeria-
dc.subjectColuna vertebralpt_BR
dc.subjectTraumatismos da coluna vertebralpt_BR
dc.subject.otherlanguageSpinal injuriespt_BR
dc.description.abstractThoracolumbar fractures are most frequent along the spine, and surgical treatment is indicated for unstable fractures. Percutaneous minimally invasive surgery was introduced to reduce the pain associated with the open posterior approach and reduce the morbidity of the procedure by avoiding damage and dissection of the paravertebral muscles. The goal of this study is to compare the surgical treatment of fractures of the thoracolumbar spine treated by the conventional open approach and the percutaneous minimally invasive approach using similar types of pedicle spine fixation systems. Methods/designs This study is designed as a multi-center, randomized controlled trial of patients aged 18-65 years who are scheduled to undergo surgical posterior fixation. Treatment by the conventional open approach or percutaneous minimally invasive approach will be randomly assigned. The primary outcome measure is postoperative pain, which will be measured using the visual analogue scale (VAS). The secondary outcome parameters are intraoperative bleeding, postoperative drainage, surgery time, length of hospital stay, SF-36, EQ-5D-5 l, HADS, pain medication, deambulation after surgery, intraoperative fluoroscopy time, vertebral segment kyphosis, fracture vertebral body height, compression of the vertebral canal, accuracy of the pedicle screws, and breakage or release of the implants. Patient will be followed up for 1, 2, 3, 6, 12 and 24 months postoperatively and evaluated according to the outcomes using clinical and radiological examinations, plain radiographs and computed tomografy (CT). Discussion Surgical treatment of thoracolumbar fractures by the open or percutaneous minimally invasive approach will be compared in a multicenter randomized study using similar types of fixation systems, and the results will be evaluated according to clinical and radiological parameters at 1, 2, 3, 6, 12 and 24 months of follow-uppt_BR
dc.relation.ispartofBMC musculoskeletal disorderspt_BR
dc.relation.ispartofabbreviationBMC musculoskelet disordpt_BR
dc.publisher.countryReino Unidopt_BR
dc.publisherSpringer Naturept_BR
dc.description.provenanceSubmitted by Thais de Brito Barroso ( on 2020-05-13T19:14:05Z No. of bitstreams: 0. Added 1 bitstream(s) on 2020-08-27T19:16:56Z : No. of bitstreams: 1 000483640600001.pdf: 637154 bytes, checksum: 1896ac93d3e493864dd77080c8da43a5 (MD5)en
dc.description.provenanceMade available in DSpace on 2020-05-13T19:14:05Z (GMT). No. of bitstreams: 0 Previous issue date: 2019en
dc.contributor.departmentSem informaçãopt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.subject.keywordMini-open surgerypt_BR
dc.subject.keywordPedicle screwpt_BR
dc.type.formProtocolo de estudopt_BR
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