Comparison between minimally invasive percutaneous pedicle screw fixation versus open pedicle screw fixation for geriatric osteoporotic spine fracture in a rural hospital

Abstract

Background: Research aimed to see if minimally invasive percutaneous pedicle screw fixation (MIPPS)or open pedicle screw fixation (OPS) worked effectively for geriatric osteoporotic fractures (#) of the spine.

Methods: In the department of neurosurgery at the tertiary care centre, 60 cases of geriatric osteoporotic vertebral # were divided into a MIPPS  set (n=30 MIPPS) and an OPS set (n=30, conventional OPS).

Results: The experimental set surgical time, surgical bleeding, incision size, days of hospital stay, and incidence of postoperative complications were smaller than those in the control set (all P <0.05). Both sets' Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) improved 6 months following surgery, with the experimental set showing the most improvement (all P<0.05).

Conclusions: Both sets of MIPPS and OPS may accomplish adequate internal fixation, with the former having reduced trauma, a less surgical duration, a quicker recovery, fewer postsurgical problems, and less post-surgical discomfort.