Nonoperative versus Operative Treatment for Thoracolumbar Burst Fractures Without Neurologic Deficit: A Meta-analysis

Gnanenthiran, S.; Adie, Sam; Harris, Ian A.

doi:10.1007/s11999-011-2157-7

Cited by 149 publications

(141 citation statements)

References 43 publications

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“…Similar results comparing non-operative versus operative management of thoracolumbar fractures were reported by Gnanenthiran [35]. This meta-analysis showed no association between the degree of residual kyphosis and pain on visual analog scale or functional status (RMDQ).…”

Section: Functional Outcomessupporting

confidence: 85%

Temporary stabilization of unstable spine fractures

Danison

Lee

Panchal

2017

Curr Rev Musculoskelet Med

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Purpose of Review We will review the recent literature concerning the necessity of supplemental fusion to spinal instrumentation and discuss if temporal spinal fixation is a viable option for the treatment of unstable spine fractures. Advancements in minimally invasive techniques offer an alternative approach to traditional open stabilization for unstable spine fractures. The use of minimally invasive surgery offers many advantages concerning operative morbidly; fusion is not utilized and instrumentation can be removed in a delayed fashion. Recent Findings There are limited differences in amount of correction loss over time, and multiple studies report equivocal to superior results in patient's functional outcomes when comparing temporary internal stabilization to long segment instrumentation with fusion. Removal of implants can restore segmental motion. Summary Review of the literature demonstrates that temporary internal stabilization for unstable fractures is a viable option. Close clinical and radiographic follow-up is recommended to avoid delayed spinal deformity.

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Section: Functional Outcomessupporting

confidence: 85%

Temporary stabilization of unstable spine fractures

Danison

Lee

Panchal

2017

Curr Rev Musculoskelet Med

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“…In another metaanalysis with two additional trials not included in the present study, Gnanenthiran et al [3] found no differences in pain, function, or return to work rates, with higher complications and costs associated with surgery. One of the trials was excluded from the Cochrane review because an intention-to-treat analysis was not reported, and the other because it was a nonrandomized prospective cohort study [4,7].…”

Section: Take-home Messagesmentioning

confidence: 44%

“…The management of thoracolumbar burst fractures in patients without neurological deficits remains controversial [3]. Surgical stabilization and possible decompression may result in earlier mobilization, reduced time to hospital discharge, and faster return to work [9], but it may also expose patients to more-frequent early complications, an increased risk for subsequent revision surgery, and greater overall healthcare costs [9].…”

mentioning

confidence: 99%

Cochrane in CORR ®: Surgical Versus Non-surgical Treatment for Thoracolumbar Burst Fractures Without Neurological Deficit

Aleem

Nassr

2016

Clinical Orthopaedics &Amp; Related Research

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“…13 This type of fracture should be treated nonsurgically according to TLICS classification, but the AOSpine Classification Group recommends that the majority of these fractures be considered for surgical treatment due to the interposition of discal tissue within the fracture, which interferes with the consolidation. 3 Our practice is in accordance with the AO Group recommendation.…”

mentioning

confidence: 75%