Outcomes of Short Segment  Posterior Instrumentation in Unstable  Thoracolumbar Fractures

Sh, Gajjar; Hj, Menon; Chaudhari, Nitin; Chaudhari,

doi:10.7860/jcdr/2016/23133.8825

Cited by 7 publications

(7 citation statements)

References 19 publications

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“…26 Gajjar et al suggested that this difference in the duration of hospital stay might be due to the referral from one center to another from distant places and to the waste of valuable time for the much-required surgery. 5 In the present study, postoperative pain in the VAS and in the Denis pain scale was low. Most cases did not involve severe pain, suggesting that this surgical method can reduce both resting time and activity-induced pain.…”

Section: Discussioncontrasting

confidence: 44%

“…4 Patients are prone to serious disorders, which can be life threatening, as well as to postoperative problems, such as pressure sores, deep venous thrombosis, and pulmonary infections. 2,5,6 An unstable burst fracture of the thoracolumbar spine is an indication for instrumentation. Unstable fractures are burst fractures that involve the posterior column of the vertebrae and the tearing of the posterior longitudinal ligament.…”

Section: Introductionmentioning

confidence: 99%

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Outcome Evaluation of Patients with Burst Thoracolumbar Fractures: A Case Series

et al. 2018

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Objective The aim of the present study was to evaluate the outcome of short segment instrumentation in patients affected by burst thoracolumbar fractures. Methods A total of 19 patients with unstable burst fractures of the thoracolumbar spine were eligible for short segment instrumentation. Their functional outcome (by using the Oswestry and Denis scales) and back pain (using the visual analog scale) were evaluated after 12 months. Results The mean age of the patients was 30.7 years old, and most of them were male (n = 15). The mean hospital stay was 4.6 days. The mean ± standard deviation (SD) of the pain score according to the visual analog scale was 1.63 ± 1.25 after 12 months of surgery, and there were no patients classified with grades 4 or 5 on the Denis work scale. The average Oswestry disability index (ODI) was 17% during the follow-ups. Conclusions The outcome of the studied patients, including the clinical pain and the functional outcome of postsurgical patients, suggested that the short-segment instrumentation could be an appropriate method for patients with unstable thoracolumbar junction fractures. However, a long-term follow-up is recommended.

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Section: Discussioncontrasting

confidence: 44%

Section: Introductionmentioning

confidence: 99%

Outcome Evaluation of Patients with Burst Thoracolumbar Fractures: A Case Series

et al. 2018

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“…It was also proved by Baaj et al [24]through similar experiments on human cadaver. Bolesta et al simulated the L2 vertebral body burst fracture on the calf spine, and conducted the biomechanical test [25], the results showed that the stability of xed segment could be increased by 68% on average in the fractured vertebra screwing group, even as much as in the long- In addition to the real-time correction effect of injured vertebra in the surgery, the long-dated corrective effect is also very ideal in the fractured vertebra screwing surgery [27,28], but compared with across the injured vertebra xation, two more screws need to be inserted in fractured vertebra xation surgery. If the traditional posterior midline open access procedure was adopted, there would be more complications including longer operation time, larger incision length, more intraoperative bleeding [29].…”

Section: Superiority Of Percutaneous Minimally Invasive Technology and O-arm Navigation Technologymentioning

confidence: 99%

Comparative Study of Clinical Efficacy of Percutaneous Short Segment Pedicle Screw Fixation With or Without Screwing of the Fractured Vertebra With O-arm Navigation

Shao

Peng

Yang

et al. 2021

Preprint

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Objective: To retrospectively analyze the short-term and long-term efficacy of O-arm-navigated percutaneous short segment pedicle screw fixation with or without screwing of the fractured vertebra.Methods: 42 patients who underwent O-arm-navigated percutaneous short segment pedicle screw fixation for the treatment of thoracolumbar fractures from February 2015 to December 2018 were selected. The patients were divided into two groups according to fixation with or without screwing of the fractured vertebra, 21 cases each. The operation time, length of incision and intraoperative bleeding of the two groups of patients, as well as preoperative, one-week postoperatively and one-year postoperatively Cobb angle, percentage of anterior vertebral height, VAS and ODI data were analyzed to compare the short-term and long-term clinical outcomes of the two groups.Results: All the patients underwent surgery successfully. There were no neurological or other complications after the surgery. All patients were followed up for at least one year. There was no failure of fixation at the one-year follow-up. There was no significant difference in the operation time and intraoperative blood loss between the two groups (P>0.05). The length of incision was statistically significantly different between the two groups (P<0.05). There was no significant difference in Cobb angle and AVH% between the two groups before and one week after the surgery (P>0.05). The Cobb angle and AVH% was statistically significantly different one year after the surgery between the two groups (P<0.05).The Cobb angle and AVH% contrast was statistically significant before surgery, one week and one year after the surgery in the respective group (P<0.05). There was no statistically significant difference in the VAS and ODI preoperatively, one-week and one-year postoperatively between the two groups (P>0.05). There was statistically significant difference in the VAS and ODI throughout the follow-up period in the respective group(P<0.05). Conclusion: The short-term efficacy of the two groups is similar, but the long-term efficacy is better through screwing of the fractured vertebra.

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“…Burst fractures are defined as vertebra fractures involving the anterior and middle columns and associated with kyphotic deformity and retropulsion of bone fragment into the spinal canal. They are usually related to high-energy traumas [1][2][3]. The incidence of burst fractures in the thoracolumbar junction, where most of the vertebral fractures occur since it is the transition zone from a mobile thoracic segment to a less mobile lumbar segment, is between 10-20% [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…They are usually related to high-energy traumas [1][2][3]. The incidence of burst fractures in the thoracolumbar junction, where most of the vertebral fractures occur since it is the transition zone from a mobile thoracic segment to a less mobile lumbar segment, is between 10-20% [1][2][3][4][5]. In the literature, it is mentioned that late neurological deterioration is up to 17% after thoracolumbar vertebra burst fractures' conservative treatment, therefore these fractures are treated surgically [6].…”

Section: Introductionmentioning

confidence: 99%

Effect of loss of correction on functional outcomes in thoracolumbar burst fractures treated with short segment posterior instrumentation

Doğan¹,

Caliskan²,

Gencer³

et al. 2019

Journal of Surgery and Medicine

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How to cite / Atıf için: Doğan Ö, Çalışkan E, Gencer B, Biçimoğlu A. Effect of loss of correction on functional outcomes in thoracolumbar burst fractures treated with short segment posterior instrumentation.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: Burst fractures are defined as vertebra fractures involving the anterior and middle columns and are associated with kyphotic deformity and retropulsion of bone fragment into the spinal canal. Although their treatment is controversial in the literature, use of transpedicular screws and short segment posterior instrumentation are increasingly common practices. The aim of this study is to investigate the radiological and functional outcomes of thoracolumbar vertebra burst fractures treated with short segment posterior instrumentation and to examine the effects of postoperative correction loss on these results. Methods: Patients who were surgically treated for thoracolumbar burst fractures and prospectively followed-up between 2000-2003 were scanned retrospectively for this cohort study. 48 patients were included in the study, of which 18 were females (37.5%) and 30 were males (62.5%). Denis Pain Scale (DPS) and Denis Work Scale (DWS) were used for functional analysis. Cobb angles that were measured preoperatively, on the first postoperative day, and at the last follow-up visit were used for evaluation of radiological outcomes.Spinal stenosis and remodelization rates were also calculated by computerized tomography obtained preoperatively and at the last follow-up. One-way ANOVA and Pearson correlation tests were used for statistical analysis. Results: No patient had any chronic pain complaints, and none were unable to work. The mean Cobb angles in the preoperative, early post-operative and final controls were measured as 23.2, 4.9, and 12.3 degrees, respectively. While preoperative mean Cobb angle and mean correction were positively correlated (r=0.85, P<0.001), there was no correlation between preoperative mean Cobb angle and loss of correction (r=0.27, P=0.43). There was a correlation between correction and loss of correction (r=0.38, P=0.008). Spinal stenosis, which was 35.7% preoperatively, reduced to 17.1% in the last follow-up. The mean remodelization was 51.3%, which was significant (P<0.001). Loss of correction was found significant in patients with poor DWS (P=0.003), and no such relationship was found in DPS.No correlation was found between the Cobb angle at the last follow-up, DPS and DWS. Conclusion: In conclusion, the loss of correction after short segment posterior instrumentation and fusion surgery is significantly higher in thoracolumbar burst fractures, especially when intraoperative correction exceeds 15 degrees. Denis Work Scale was significantly w...

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Outcomes of Short Segment Posterior Instrumentation in Unstable Thoracolumbar Fractures

Cited by 7 publications

References 19 publications

Outcome Evaluation of Patients with Burst Thoracolumbar Fractures: A Case Series

Outcome Evaluation of Patients with Burst Thoracolumbar Fractures: A Case Series

Comparative Study of Clinical Efficacy of Percutaneous Short Segment Pedicle Screw Fixation With or Without Screwing of the Fractured Vertebra With O-arm Navigation

Effect of loss of correction on functional outcomes in thoracolumbar burst fractures treated with short segment posterior instrumentation

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