Open vs. Percutaneous Pedicle Screw Insertion for Thoracolumbar Traumatic A3 and A4 AO Fractures - 18-Months Follow-Up

Romero, Flávio Ramalho; Vieira, Rodolfo Brum; Ancheschi, Bruno da Costa

doi:10.1055/s-0037-1607439

Cited by 2 publications

(1 citation statement)

References 32 publications

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“… 1 , 2 The causes of TSF vary based on the age, but most of which are attributed to motor vehicle accidents (MVAs), falls, and violence. 1 , 3 Owing to its biomechanical weakness against external stress, thoracolumbar junction is most vulnerable to injury. 4 Thoracolumbar fractures are considered the commonest spinal injury with an estimated annual incidence of more than 160,000 injuries in North America.…”

Section: Introductionmentioning

confidence: 99%

Returning to Work After Traumatic Spine Fractures: Current Status in a Military Hospital

Alhabeeb,

Konbaz,

Aleissa

et al. 2024

Military Medicine

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Introduction The consequences of traumatic spine fracture (TSF) are complex and have a major burden on patients’ social life and financial status. In this study, we aimed to investigate the return to work (RTW) after surgically treated TSFs, develop eventual predictors of delayed or failure to RTW, and assess narcotics use following such injuries. Methods This was a single-center retrospective cohort study that was performed in a tertiary care center. TSF patients who required surgical intervention from 2016 to 2021 were enrolled. Demographic, operative, and complication data, as well as narcotics use, were recorded. RTW was modeled using multivariate logistic regression analysis. Results Within the 173 patients with TSF, male patients accounted for 82.7%, and motor vehicle accidents were the most common mechanism of injury (80.2%). Neurologically intact patients represented 59%. Only 38.15% returned to work after their injury. Majority of the patients didn’t use narcotics more than 1 week after discharge (93.1%). High surgical blood loss, operation time, and hospital length of stay were significantly associated with not returning to work. In multivariant regression analysis, every increase of 100 ml of surgical blood loss was found to decrease the chance of RTW by 25% (P = 0.04). Furthermore, every increase of one hour in operation time decreases the chance of RTW by 31% (P = 0.03). Conclusion RTW is an important aspect that needs to be taken into consideration by health care providers. We found that age and high surgery time, blood loss, and hospital stay are significantly impacting patients’ RTW after operated TSF.

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