Thoracolumbar Burst Fractures, Short X Long Fixation: A Meta-Analysis

Filho, Carlos Alberto Assunção; Simões, Filipe Cedro; Prado, Gabriel Oliveira

doi:10.1590/s1808-185120161501154925

Cited by 5 publications

(1 citation statement)

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“…However, these results were based on the observation of traumatic fracture in young patients and not in the osteoporotic population [ 20 ]. Moreover, according to our results, the analysis of kyphotic correction made by Assuncao Filho et al [ 21 ] indicated poorer corrections for SSS immediately after surgery and a greater loss of this correction in the long-term follow-up. In our comparative study, we did not find a worse loss of kyphotic correction over time; in fact, after 3 months from surgery, kyphotic deformity tended to remain stable over time.…”

Section: Discussionsupporting

confidence: 81%

Long versus Short Segment Instrumentation in Osteoporotic Thoracolumbar Vertebral Fracture

et al. 2021

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This study aimed to compare clinical and radiological data and rate of mechanical complications in elderly patients treated with short segment (SSS) or long segment stabilization (LSS) for thoracolumbar junction osteoporotic vertebral fractures (OVFs). Overview of Literature: A fervent debate is now focused on the treatment of OVF using SSS or LSS. High rate of complications is associated with pedicle screw fixation because of poor bone quality. Methods: Patients over 65 years old with a T-score of <−2.5, affected by (T10-L2) vertebral fracture treated with LSS or SSS pedicle screw fixation, with at least 24 months of follow-up were evaluated. All patients were analyzed with conventional X-ray to evaluate bisegmental kyphotic angle (BKA) and clinically with Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and rate of mechanical complications at 2, 6, 12, and 24 months. Data were expressed as mean±standard deviation. Student t-test was used to compare clinical scores between populations. Mann-Whitney U-test was used to analyze clinical and radiological variable, whereas Fisher's exact test was used to identify differences in the rate of complications between groups. Results: A total of 37 patients met the inclusion criteria. Mean follow-up was 33.97±9.26 months. For both groups, ODI and VAS significantly decreased over time with good results (p<0.00001). At the final follow-up, no significant differences were found in terms of ODI and VAS. There was no difference in correction of BKA between groups; however, a significant difference was found in LSS group between pre-and postoperative BKA (p=0.046), whereas no difference was found in SSS group. A significant difference in the rate of mechanical complications was found between groups (p=0.011). Conclusions: Both treatments showed good clinical and radiological results; however, LSS group showed better BKA correction and lower mechanical complications than SSS group.

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Section: Discussionsupporting

confidence: 81%