Akademik Veri Yönetim Sistemi
Journal of Neurological Surgery, Part A: Central European Neurosurgery, 2022 (SCI-Expanded)
Purpose: To compare radiological and clinical results between the short segment fixation and the long segment fixation in thoracolumbar junction distraction fractures. Methods: We retrospectively reviewed the prospectively recorded data of patients who underwent posterior approach and pedicle fixation treatment for thoracolumbar distraction fracture (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association AO/OTA 5-B) with a minimum two years' follow-up. A total 31 patients were operated in our center who divide two groups: (1) patients treated with short level fixation (one level above and below the fracture level) and (2) patients treated with long level fixation (two levels above and below the fracture level). Clinical outcomes were including neurologic status, operation time and time to surgery. Functional outcomes were evaluated with Oswestry Disability Index (ODI) questionnaire and Visual Analog Scale (VAS) at the final follow-up. Radiological outcomes were including local kyphosis angle, anterior body height, posterior body height and sagittal index of fractured vertebra. Results: Short level fixation (SLF) was performed in 15 patients, whereas the long level fixation (LLF) was performed in 16 patients. The average follow-up period was 30.13 ± 11.3 months for SLF group and 35.3 ± 17.2 months for group 2 (p = 0.329). The two groups were similar in regard to age, gender, follow-up period, fracture level, fracture type, pre-postoperative neurologic status. Operating time was significantly shorter in SLF group than in LLF group. There were no significant differences between the groups in all radiological parameters, ODI score and VAS. Conclusion: SLF was associated with a shorter operation time and allowed the preservation of two or more segments of vertebral motion.