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Long Versus Short-segment Stabilization in Patients with Traumatic Thoracolumbar Fractures – Lumbar Fusion

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This article discusses a study that compares the effectiveness of long-segment (LS) stabilization and short-segment (SS) stabilization in restoring spinal stability in patients with traumatic thoracolumbar fractures. The study included 98 patients who underwent posterior stabilization surgery for their fractures. Radiological parameters were measured before and after surgery using computed tomography (CT) scans. The results showed that both LS and SS stabilization approaches were similarly effective in restoring spine stability parameters. The choice of surgical approach should be based on the patient’s overall status and the surgeon’s experience

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine clinic in UK

Published article

S: Both LS and SS stabilization approaches yield similar results in terms of restoring spine stability parameters in patients with traumatic thoracolumbar fractures. The choice of surgical approach should be individualized based on the patient’s overall status and the surgeon’s experience.

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Ortop Traumatol Rehabil. 2023 Aug 31;25(4):173-179. doi: 10.5604/01.3001.0053.9344.ABSTRACTBACKGROUND: Posterior stabilization surgery is considered the gold standard for restoring spine stability in patients with traumatic thoracolumbar fractures. However, whether long-segment (LS) stabilization or short-segment (SS) stabilization is an optimal approach for achieving more effective restoration of spinal stability remains unclear.MATERIAL AND METHODS: Patients who underwent posterior,

Ortop Traumatol Rehabil. 2023 Aug 31;25(4):173-179. doi: 10.5604/01.3001.0053.9344.

ABSTRACT

BACKGROUND: Posterior stabilization surgery is considered the gold standard for restoring spine stability in patients with traumatic thoracolumbar fractures. However, whether long-segment (LS) stabilization or short-segment (SS) stabilization is an optimal approach for achieving more effective restoration of spinal stability remains unclear.

MATERIAL AND METHODS: Patients who underwent posterior stabilization surgery for traumatic thoracolumbar fractures were included in the study. Radiological parameters were measured using pre- and post-surgical thoracolumbar computed tomography (CT) scans and compared between patients who received LS and SS stabilization.

RESULTS: Ninety-eight consecutive patients (mean age 4414, 50% male) who underwent posterior stabilization surgery for traumatic thoracolumbar fractures were included. LS stabilization was performed in 52 patients, while SS stabilization was performed in 46 patients. Among spinal stability parameters measured on pre-surgical thoracolumbar CT scans, the anterior vertebral height (AVH) was significantly lower in the LS stabilization group compared to the SS stabilization group (14.44.0 mm vs. 16.44.0 mm, p=0.017), indicating a more severe compression fracture in the LS stabilization group. However, all parameters improved on post-surgical thoracolumbar CT scans, and there were no significant differences between LS stabilization and SS stabilization groups in terms of the restoration of spinal stability parameters. The type of stabilization (LS vs. SS stabilization) did not show an association with post-surgical measurements of spinal stability parameters (B=0.27, 95% CI -1.87 to 2.42, p=0.800 for superior inferior end plate angle (SIEA), B=0.20, 95% CI -1.33 to 1.74, p=0.796 for AVH, and B=0.39, 95% CI -1.72 to 2.50, p=0.714 for Cobb angle).

S: Both LS and SS stabilization approaches yield similar results in terms of restoring spine stability parameters in patients with traumatic thoracolumbar fractures. The choice of surgical approach should be individualized based on the patient’s overall status and the surgeon’s experience.

PMID:37947142 | DOI:10.5604/01.3001.0053.9344

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Long Versus Short-segment Stabilization in Patients with Traumatic Thoracolumbar Fractures

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Ortop Traumatol Rehabil. 2023 Aug 31;25(4):173-179. doi: 10.5604/01.3001.0053.9344.ABSTRACTBACKGROUND: Posterior stabilization surgery is considered the gold standard for restoring spine stability in patients with traumatic thoracolumbar fractures. However, whether long-segment (LS) stabilization or short-segment (SS) stabilization is an optimal approach for achieving more effective restoration of spinal stability remains unclear.MATERIAL AND METHODS: Patients who underwent posterior
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