Remedy of Unstable Thoracolumbar Fractures: Does Fracture-Degree 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 quick phase together with fractured stage (SSIFL) and lengthy phase (LS) transpedicular fixation after acute thoracolumbar junction burst fractures. The two-year medical and radiologic follow-up outcomes of the two teams additionally have been in contrast.
METHODS: Seventy-four sufferers have been randomized into one in all 2 teams: SSIFL (n = 39) or LS (n = 35). The SSIFL group included one stage above and one stage under, together with the fracture stage, whereas the LS group included 2 ranges above and a pair of ranges under, 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 top loss) at common intervals. The medical 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 medical scores of sufferers who had fusion in contrast with the fusion-free group; nonetheless, there was no radiologically vital distinction. Moreover, there was no vital distinction between the SSIFL and LS teams by way of the 2-year radiologic and medical follow-up outcomes.
CONCLUSIONS: Fusion occurred sooner and sufferers skilled earlier medical restoration within the SSIFL group in contrast with the LS group.
PMID: 28803178 [PubMed – indexed for MEDLINE]