دورية أكاديمية
Long- versus short-segment fixation with an index vertebral screw for management of thoracolumbar fractures.
| العنوان: | Long- versus short-segment fixation with an index vertebral screw for management of thoracolumbar fractures. |
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| المؤلفون: | Tammam H, Alkot A, Ahmed AM, Said E |
| المصدر: | Acta orthopaedica Belgica [Acta Orthop Belg] 2022 Sep; Vol. 88 (3), pp. 423-431. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Acta Medica Belgica Country of Publication: Belgium NLM ID: 2985165R Publication Model: Print Cited Medium: Internet ISSN: 0001-6462 (Print) Linking ISSN: 00016462 NLM ISO Abbreviation: Acta Orthop Belg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Bruxelles : Acta Medica Belgica Original Publication: Bruxelles. |
| مواضيع طبية MeSH: | Pedicle Screws*/adverse effects , Spinal Fractures*/diagnostic imaging , Spinal Fractures*/surgery, Humans ; Retrospective Studies ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Thoracic Vertebrae/diagnostic imaging ; Thoracic Vertebrae/surgery ; Fracture Fixation, Internal/methods ; Treatment Outcome |
| مستخلص: | The choice of the best stabilization technique for thoracolumbar fractures remains controversial. While LSF includes too many motion segments, SSF is associated with a high rate of fixation failure and subsequent loss of kyphotic correction. Our objective is to compare the surgical, clinical, and radiological outcomes of thoracolumbar spine fixation using long-segment fixation (LSF) versus short-segment fixation (SSF) with a screw in the fractured vertebra. We retrospectively evaluated 63 patients with single- level thoracolumbar fracture types A and B treated during the period between 2010 and 2017 in our institution. Group A (30 patients) was treated by SSF with an intermediate screw in the fractured vertebra, while group B (33 patients) was treated by LSF. Both groups were compared in terms of surgical, clinical, and radiological outcomes. The mean operative blood loss was significantly lower in group A than in group B (451.3 ± 79.9 and 690 ± 92.1 ml, respectively). The mean operative time in Group A was significantly shorter than in group B (58.4 ± 14.8 and 81.5 ± 12.3 minutes, respectively). Both groups achieved a similar Visual Analogue Scale (VAS) for pain and Oswestry Disability Index (ODI) score. No significant difference was found as regards the kyphotic angle correction and the correction loss at final follow-up. In conclusion, SSF with a screw in the fractured vertebra achieved comparable functional and radiological outcomes to LSS with less blood loss and operative time. |
| تواريخ الأحداث: | Date Created: 20230215 Date Completed: 20230217 Latest Revision: 20230217 |
| رمز التحديث: | 20230217 |
| DOI: | 10.52628/88.3.9657 |
| PMID: | 36791694 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0001-6462 |
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| DOI: | 10.52628/88.3.9657 |