19 Harley St, London, W1G 9QJ, UK

Radiological outcome of short segment posterior stabilisation and fusion in thoracolumbar spine acute fracture

INTRODUCTION: The optimal management of thoracolumbar spine fractures remains a matter of controversy. The current literature implies that the use of short-segment pedicle screw fixation may be inappropriate because of its high reported failure rate. The purpose of this study is to report the short-term results of thoracolumbar burst and compression fractures treated with short-segment pedicle instrumentation. MATERIALS AND METHODS: From 2002 to 2007, 19 patients with thoracolumbar acute traumatic fractures were instrumented with posterior short-segment pedicle screws. The patients’ case notes, operation records, preoperative and postoperative radiographs (sagittal index, anterior body compression and regional kyphosis), computed tomography scans, neurological findings (Frankel functional classification), and follow-up records up to 18 months were reviewed. RESULTS: A statistically significant difference was found between the patients’ preoperative, postoperative and follow-up sagittal index, anterior body compression and regional kyphosis measurement. One case resulted in screw pedicle screw pullout and subsequently, kyphotic deformity. The patient underwent revision surgery to long-segment posterior instrumentation and fusion. None of the patients showed an increase in neurological deficit. CONCLUSION: In conclusion, the short-term follow-up results suggest a favourable outcome for short-segment instrumentation. Load shearing classification is essential for the selection of patient for short-segment instrumentation. However, the long-term follow-up evaluation will be needed to verify our findings

Keywords : Acute Disease,Adult,Analysis of Variance,Bone Screws,classification,diagnostic imaging,Female,Health Status Indicators,Humans,injuries,instrumentation,Kyphosis,Lumbar Vertebrae,Male,methods,Middle Aged,Patients,Radiography,Retrospective Studies,Spinal Fractures,Spinal Fusion,Spine,surgery,Thoracic Vertebrae,Time Factors,Treatment Outcome,, Outcome,Short,Segment,Posterior, neck mri images

Date of Publication : 2011 Mar

Authors : Yung AW;Thng PL;

Organisation : Department of Orthopaedics, Changi General Hospital. [email protected]

Journal of Publication : Ann Acad Med Singapore

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21603733

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Radiological outcome of short segment posterior stabilisation and fusion in thoracolumbar spine acute fracture | Osteolysis and complications associated with artificial disc replacement

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810