Age- and gender-specific clinical characteristics of acute adult spine fractures in China

Tian, Ye; Zhu, Yanbin; Yin, Bing; Zhang, Fei; Liu, Bo; Chen, Wenxue; Zhang, Yingze

doi:10.1007/s00264-015-3025-y

Cited by 27 publications

(20 citation statements)

References 36 publications

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“…The thoracolumbar (TL) region of the spine ranges by definition from T11 to L2 inclusively, and nearly 60-70 % of all traumatic spinal fractures occur in this region [1,2]. The management of thoracolumbar fractures remains controversial, especially in patients without neurological deficit.…”

Section: Introductionmentioning

confidence: 99%

Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures

Zhong

Ren

et al. 2016

International Orthopaedics (SICOT)

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Section: Introductionmentioning

confidence: 99%

Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures

Zhong

Ren

et al. 2016

International Orthopaedics (SICOT)

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“…[1,2] In clinical practice, TL fractures are managed either nonsurgically (conservative treatment) or surgically. Surgical decompression is generally acceptable for neurologically compromised patients but is highly controversial in those without neurological damage.…”

Section: Introductionmentioning

confidence: 99%

Pedicle screw fixation combined with intermediate screw at the fracture level for treatment of thoracolumbar fractures

Li¹,

Zhang

Liú

et al. 2016

Medicine

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Background:Use of a pedicle screw at the level of fracture, also known as an intermediate screw, has been shown to improve clinical results in managing thoracolumbar(TL) fractures, but there is a paucity of powerful evidence to support the claim. The aim of this study was to compare outcomes between pedicle screw fixation combined with intermediate screw at the fracture level and conventional pedicle screw fixation (one level above and one level below the fracture level) for thoracolumbar (TL) fractures.Methods:A meta-analysis of cohort studies was conducted between pedicle screw fixation combined with intermediate screw at the fracture level (combined screw group) and conventional pedicle screw fixation (conventional group) for the treatment of TL fractures from their inception to December 2015. An extensive search of studies was performed in PubMed, Medline, Embase, and the Cochrane library. The following outcome measures were extracted: visual analogue scale (VAS), operation time and intraoperative blood loss, Cobb angle and anterior vertebral height (AVH), and complications. Data analysis was conducted with RevMan 5.3.5.Results:From 10 relevant studies identified, 283 patients undergoing pedicle screw fixation combined with intermediate screw at the fracture level were compared with 285 conventional pedicle screw procedures. The pooled analysis showed that there was statistically significant difference in terms of postoperative Cobb angle (95% confidence interval (CI), −3.00, −0.75; P = 0.001) and AVH (95% CI, 0.04, 12.23; P = 0.05), correction loss (Cobb angle: P < 0.0001; AVH: P < 0.0001) and implant failure rate (95% CI, 0.06, 0.62; P = 0.006), and blood loss (W 95% CI, 2.22, 23.60; P = 0.02) between 2 groups. But in terms of other complications, there were no differences between 2 groups (95% CI, 0.23, 2.04; P = 0.50). No difference was found in operation time (95% CI, −5.36, 14.67; P = 0.36) and VAS scores (95% CI, −0.44, 0.01; P = 0.06).Conclusions:The combined screw fixation technique was associated with better reduction of the fractured vertebrae, less correction loss in the follow-up, and lower implant failure rate. Given the lack of robust clinical evidence, these findings warrant verification in large prospective registries and randomized trials with long-term follow-up.

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“…Spine fractures are common, accounting for about 14% of all fractures [1], and the thoracolumbar spine is reportedly the most common site of spinal fractures due to trauma, accounting for 60-70% of spine fractures [2,3]. Thoracolumbar fractures can cause an unstable spine leading to pain, motion disability, and even full paralysis [4].…”

Section: Introductionmentioning

confidence: 99%

A comparison of monoaxial and polyaxial pedicle screws in thoracolumbar fracture

Yao

Guo

Lai

et al. 2020

Preprint

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Purpose: To evaluate the use of short-segment posterior fixation with monoaxial and polyaxial pedicle screws in thoracolumbar fractures Methods: All patients who underwent short-segment posterior fixation with monoaxial pedicle screws or polyaxial pedicle screws in the injured vertebra of a thoracolumbar fracture (T12-L2) in our hospital between June 2012 and December 2018 were categorised into two groups: monoaxial pedicle screws group (group A) and polyaxial pedicle screws group (group B). We compared the Thoracolumbar Injury Severity Score (TLISS), American Spinal Injury Association (ASIA) score, the fracture level, Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification, hospital stay, injury-to-operation interval, and associated injuries between the two groups. In addition, the prevertebral height ratio, the injured vertebra Cobb angle, and the injured vertebral endplate centre ratio were measured preoperatively, postoperatively, and at the final follow-up. Results: There were 63 patients (21 males and 42 females) with an average age of 44.7 years. Compared with group B, the injury vertebral endplate centre ratio significantly increased postoperatively and at the final follow-up (P<0.05) in group A. Conclusion: Short-segment posterior fixation with monoaxial or polyaxial pedicle screws via the fracture level for thoracolumbar fracture can achieve kyphosis correction, reduce sagittal alignment correction failure, and maintain anterior vertebral height. The insertion of monoaxial pedicle screws at the fracture level after thoracolumbar vertebral fracture has a flick up effect on the central vertebral body of the injured vertebrae, which is beneficial to the recovery of the vertebral endplate.

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Age- and gender-specific clinical characteristics of acute adult spine fractures in China

Cited by 27 publications

References 36 publications

Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures

Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures

Pedicle screw fixation combined with intermediate screw at the fracture level for treatment of thoracolumbar fractures

A comparison of monoaxial and polyaxial pedicle screws in thoracolumbar fracture

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