Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures

Background Data: Long segment fixation has been frequently used for management of burst thoracolumbar fractures of the spine. Concerns about lost motion segments with this type of fixation encouraged the use of a shorter fixation method. Purpose: The aim of this study is to assess the ability of sh...

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Autores principales:	Tariq Awad, Salem Faisal
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2017
Materias:	Long segment Short segment Fixation Thoracolumbar spine Trauma Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/73a5edc5f9bb48aca8b59e0c2911c7e2
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spelling	oai:doaj.org-article:73a5edc5f9bb48aca8b59e0c2911c7e22021-12-02T02:53:41ZShort Same-Segment Instrumentation of Burst Thoracolumbar FracturesDOI:10.21608/ESJ.2017.55262314-89502314-8969https://doaj.org/article/73a5edc5f9bb48aca8b59e0c2911c7e22017-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_5526.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Long segment fixation has been frequently used for management of burst thoracolumbar fractures of the spine. Concerns about lost motion segments with this type of fixation encouraged the use of a shorter fixation method. Purpose: The aim of this study is to assess the ability of short segment fixation with pedicle screws at the fractured level to correct deformity, maintain correction and prevent failure in comparison to the traditional long segment fixation. Study Design: A descriptive retrospective clinical case study involving 40 patients. Patients and Methods: Forty patients underwent stabilization for unstable thoracolumbar burst fractures. They were divided into two groups; the short segment group and the long segment group. They were operated between June 2012 and May 2016. Participants were evaluated pre-operatively, post-operatively and at 3, 6, 9, and 12 months. Clinical outcome was compared using the modified Mc Nab criteria. Radiological outcome was compared using the Cobb angle measurement of kyphosis. Results: The two groups were fairly homogeneous and comparable epidemiologically. About 45% of the fractures were at L1 level. The short segment group showed less intraoperative blood loss, shorter operative time and hospital stay. Patients in both groups achieved satisfactory clinical outcome. No difference between the two groups in the mean kyphotic angle correction and the loss of kyphosis correction during follow up. Implant failure was recognized in five patients (12.5%), three patients had short segment fixation and two had long segment fixation.Conclusion: Short-segment pedicle screw fixation including the fractured vertebral body is as effective as long-segment pedicle screw fixation for the treatment of unstable thoracolumbar burst fracture. (2016ESJ137)Tariq Awad Salem FaisalEgyptian Spine AssociationarticleLong segmentShort segmentFixationThoracolumbar spineTraumaNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 21, Iss 1, Pp 42-49 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Long segment Short segment Fixation Thoracolumbar spine Trauma Neurology. Diseases of the nervous system RC346-429
spellingShingle	Long segment Short segment Fixation Thoracolumbar spine Trauma Neurology. Diseases of the nervous system RC346-429 Tariq Awad Salem Faisal Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures
description	Background Data: Long segment fixation has been frequently used for management of burst thoracolumbar fractures of the spine. Concerns about lost motion segments with this type of fixation encouraged the use of a shorter fixation method. Purpose: The aim of this study is to assess the ability of short segment fixation with pedicle screws at the fractured level to correct deformity, maintain correction and prevent failure in comparison to the traditional long segment fixation. Study Design: A descriptive retrospective clinical case study involving 40 patients. Patients and Methods: Forty patients underwent stabilization for unstable thoracolumbar burst fractures. They were divided into two groups; the short segment group and the long segment group. They were operated between June 2012 and May 2016. Participants were evaluated pre-operatively, post-operatively and at 3, 6, 9, and 12 months. Clinical outcome was compared using the modified Mc Nab criteria. Radiological outcome was compared using the Cobb angle measurement of kyphosis. Results: The two groups were fairly homogeneous and comparable epidemiologically. About 45% of the fractures were at L1 level. The short segment group showed less intraoperative blood loss, shorter operative time and hospital stay. Patients in both groups achieved satisfactory clinical outcome. No difference between the two groups in the mean kyphotic angle correction and the loss of kyphosis correction during follow up. Implant failure was recognized in five patients (12.5%), three patients had short segment fixation and two had long segment fixation.Conclusion: Short-segment pedicle screw fixation including the fractured vertebral body is as effective as long-segment pedicle screw fixation for the treatment of unstable thoracolumbar burst fracture. (2016ESJ137)
format	article
author	Tariq Awad Salem Faisal
author_facet	Tariq Awad Salem Faisal
author_sort	Tariq Awad
title	Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures
title_short	Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures
title_full	Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures
title_fullStr	Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures
title_full_unstemmed	Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures
title_sort	short same-segment instrumentation of burst thoracolumbar fractures
publisher	Egyptian Spine Association
publishDate	2017
url	https://doaj.org/article/73a5edc5f9bb48aca8b59e0c2911c7e2
work_keys_str_mv	AT tariqawad shortsamesegmentinstrumentationofburstthoracolumbarfractures AT salemfaisal shortsamesegmentinstrumentationofburstthoracolumbarfractures
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Short Same-Segment Instrumentation of Burst Thoracolumbar Fractures

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