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Journal of Brain and Neurology | Volume 3
allied
academies
March 14-16, 2019 | London, UK
12
th
International Conference on
8
th
International Conference on
Vascular Dementia and Dementia
Neurological Disorders and Stroke
Joint Event
&
A
pproximately11,000newcases of spinal injuries occur every
year in the United States of America and approximately
250,000 people in this country have associated spinal cord
injury. Regarding the most affected anatomical levels, 50%
occur in the thoracic and lumbar regions. The estimated cost
of a spinal cord injury with neurological deficit is $ 200,000
for the first year and 21,000 annually. The life expectancy for
patients with neurological lesions is shortened from 15 to 20
years. In South America, the incidence of this lesion is 40 new
cases/year/million inhabitants, being more frequent in males,
young adults and low level of schooling. In the treatment,
the posterior approach, with midline incision and separation
of muscle groups associated with decompression through
laminectomy and fusion through pedicular screws, longitudinal
rods and cross-links, is one of the most used techniques.
However, is associated with aggression of healthy tissue
with extensive muscle injury, increased rate of bleeding and
posterior ligament injury. In this context, minimally invasive
techniques of arthrodesis (MISS) have been increasingly used
for the treatment of thoracolumbar fractures, as they cause
less damage to healthy tissues, with less blood loss, reducing
the occurrence of morbidities and complications. In the case of
traumatic injuries, many patients have multiple comorbidities
due to polytraumatism and benefit from a less aggressive
treatment, therefore, more and more centers have performed
percutaneous arthrodesis techniques. Because it is a recent
high-tech surgical technique that is feasible after advances in
fluoroscopy and image navigation, the benefits have been
greatly studied in relation to the conventional technique.
Therefore, we will discuss the updates and novelties regarding
the treatment of thoracolumbar fractures through minimally
invasive surgery.
Speaker Biography
Gibran Franzoni Rufca completed his degree in Medicine and Neurosurgery from the
School of Medicine of São José do Rio Preto. His main institution is the Hospital Santa
Casa de Ourinhos, where he and his team provide neurosurgical treatments, mainly for
the pathologies of the vertebral column. They brought to the region where he works
the first endoscopic, functional surgeries and the first minimally invasive procedures
of the spine. He is currently also a master’s degree student in the Post-Graduation
Program of the University of São Paulo - Campus Botucatu and working in the research
of pain and minimally invasive surgeries of the spine, under the coordination of Prof.
Dr. Flávio Ramalho Romero.
e:
gibran.rufca@gmail.comGibran Franzoni Rufca
Hospital Santa Casa de Ourinhos, Brazil
Minimally Invasive/Percutaneous Spinal Surgery in the treatment of Thoracolumbar
fractures: Current concepts