Remedy of Unstable Thoracolumbar Fractures: Does Fracture-Stage Fixation Speed up the Bone Therapeutic?
World Neurosurg. 2017 Nov;107:362-370
Authors: Özbek Z, Özkara E, Önner H, Ba? G, Erman ?C, Özen H, Entok E, Arslanta? A
OBJECTIVE: To analyze the impact of fusion on brief section together with fractured stage (SSIFL) and lengthy section (LS) transpedicular fixation after acute thoracolumbar junction burst fractures. The two-year scientific and radiologic follow-up outcomes of the two teams additionally have been in contrast.
METHODS: Seventy-four sufferers have been randomized into one in every of 2 teams: SSIFL (n = 39) or LS (n = 35). The SSIFL group included one stage above and one stage beneath, together with the fracture stage, whereas the LS group included 2 ranges above and a pair of ranges beneath, excluding the fracture stage, for the transpedicular fixation. Fusion was assessed by technetium 99m-methylendiphosphonate, bone scintigraphy, and single-photon emission computed tomography. The two-year follow-up outcomes have been in contrast clinically (Oswestry Incapacity Index and visible analog scale) and radiologically (kyphosis angle, sagittal index, anterior vertebral physique peak loss) at common intervals. The scientific scores and radiologic parameters of sufferers with and with out fusion additionally have been in contrast.
RESULTS: The variety of sufferers with fusion was considerably higher within the SSIFL group in contrast with the LS group. There was a major discount of the scientific scores of sufferers who had fusion in contrast with the fusion-free group; nonetheless, there was no radiologically important distinction. Moreover, there was no important distinction between the SSIFL and LS teams by way of the 2-year radiologic and scientific follow-up outcomes.
CONCLUSIONS: Fusion occurred sooner and sufferers skilled earlier scientific restoration within the SSIFL group in contrast with the LS group.
PMID: 28803178 [PubMed – indexed for MEDLINE]