Circumferential Fusion With Anterior Strut Grafting and Short-segment Multipoint Posterior Fixation for Burst Fractures in Skeletally Immature Patients

Ilharreborde, Brice; Hirsch, C.; Presedo, Ana; Penneçot, Georges-François; Mazda, Keyvan

doi:10.1097/bpo.0b013e31824b6e00

Cited by 18 publications

(5 citation statements)

References 21 publications

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“…Ilharreborde also pointed out the reduction in operative time and blood loss in comparison to a group of patients treated with thoracic hook hybrid constructs [10]. In addition, the polyester bands indications have recently been extended to traumatology, with promising results [25,26]. However, approaching the canal carries a potential risk of neurological injury.…”

Section: Discussionmentioning

confidence: 95%

Adolescent idiopathic scoliosis correction achieved by posteromedial translation using polyester bands: A comparative study of subtransverse process versus sublaminar fixation

Hirsch

Ilharreborde

Fournier

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

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Section: Discussionmentioning

confidence: 95%

Adolescent idiopathic scoliosis correction achieved by posteromedial translation using polyester bands: A comparative study of subtransverse process versus sublaminar fixation

Hirsch

Ilharreborde

Fournier

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

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“…Anterior or far lateral corpectomy and strut grafting, followed by either anterior or posterior instrumentation with arthrodesis, is an alternative strategy of fixation. 28,30 …”

Section: Burst Fracturesmentioning

confidence: 99%

Pediatric Thoracolumbar Spine Trauma

Daniels¹,

Sobel²,

Eberson³

2013

Journal of the American Academy of Orthopaedic Surgeons

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Thoracolumbar spine trauma is an important cause of morbidity and mortality in pediatric patients. Special attention to this population is necessary because several unique features of the growing pediatric spine separate these patients from adult patients. These injuries are frequently associated with high-energy trauma and concurrent thoracic or abdominal injuries that require coordinated multidisciplinary care. Thoracolumbar spine trauma in pediatric patients may lead to compression fractures, burst fractures, flexion-distraction injuries (ie, Chance fracture), fracture-dislocation injuries, apophyseal fractures/herniations, and spinous process and transverse process fractures. Depending on the nature of the injury and the patient's level of skeletal maturity, thoracolumbar spinal injuries may have substantial ability to heal and remodel. Because the impact of thoracolumbar spinal injury on pediatric patients can be devastating, appropriate early diagnosis and management, as well as long-term follow-up, are imperative.

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“…They concluded that regardless of the severity of injury, no technique was able to correct and maintain the fracture segment to the physiological level and kyphotic angle. This statement was reaffirmed by Wang et al, who also found no correlation between the degree of kyphosis and residual back pain [14]. More studies are needed to understand the effect of short fixation on adjacent levels and on the maintenance of deformity correction in the thoracolumbar spine, either as a stand-alone procedure or as an adjunct to anterior fixation.…”

Section: Angle Of Correctionmentioning

confidence: 92%

Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain

Sallam¹,

Ghany

Ali

et al. 2018

Egypt J Neurosurg

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Background: Thoracic and lumbar fractures represent nearly 90% of traumatic spine injuries. Thoracolumbar region is susceptible to injury because of its location between the stiff kyphotic thoracic spine and the mobile lordotic lumbar region. To compare between short-segment fixation with screws into index level and long-segment fixation in maintaining angle of correction and pain. Methods: A prospective study included 91 patients, who had single-level thoracolumbar fracture with Cobb's angle ≤ 25°and underwent posterior fixation. Forty-four patients underwent short-segment fixation with screws into the index level, and 47 patients underwent long-segment fixation with skipped index level. The angle of correction, pain, and neurological state were regularly assessed. Results: Forty-four patients (48.35%) had short segment and 47 (51.65%) had long-segment fixation. In the short segment group, the pre-operative mean Cobb's angle was 19.34°± 3.63°and the angle of correction was 8.14°± 1.9°a fter 1 year, while in the long segment group, the pre-operative mean Cobb's angle was 19.08°± 4.0°and the angle of correction was 8.62°± 2.59°. Regarding pain, in the short segment group, the pre-operative visual analogue scale (VAS) was 5.59 ± 2.09 that was reduced to 1.39 ± 0.58 at the 1 year follow-up, while the long segment group VAS was 5.4 ± 2.01 pre-operatively that was reduced to 1.47 ± 0.58. Conclusions: Short-segment fixation can maintain the angle of correction as long-segment fixation for single level thoracolumbar traumatic fracture with lower complication and faster pain relief. Trial registration: Clinicaltrials.gov/NCT03272243.

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Circumferential Fusion With Anterior Strut Grafting and Short-segment Multipoint Posterior Fixation for Burst Fractures in Skeletally Immature Patients

Abstract: Level IV.

Cited by 18 publications

References 21 publications

Adolescent idiopathic scoliosis correction achieved by posteromedial translation using polyester bands: A comparative study of subtransverse process versus sublaminar fixation

Adolescent idiopathic scoliosis correction achieved by posteromedial translation using polyester bands: A comparative study of subtransverse process versus sublaminar fixation

Pediatric Thoracolumbar Spine Trauma

Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain

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