Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 6

Short Segment Versus Long Segment Pedicular Fixation of Thoracolumbar Burst Fracture. A Comparative Study

Said Hilmani*, Yassin Haouas, Abderrazak Bertal, Abdessamad Naja and Abdelhakim Lakhdar

Department of Neurosurgery, Hassan II University, Ñorocco

*Corresponding Author: Said Hilmani, Department of Neurosurgery, Hassan II University, Ñorocco.

Received: March 28, 2022; Published: May 06, 2022

Abstract

Introduction: Traumatic thoracolumbar (TL) burst fractures requiring stabilization are widespread among younger people. Surgical intervention can be divided into long and short fixation. Here, we report the results of 60 patients operated for TL burst fractures to determine whether one construct was better than the other.

Material and Methods: Sixty patients, between 17 and 70 years old, had surgery for TL burst fractures over a 2 years period (2018 -2019). Patients who were neuorlogicaly intact in Group A received short fixation (32 patients), while Group B patients had long fixations (28 patients) performed. Their clinical and radiological outcomes were then assessed postoperatively at 3, 6 and 12 months.

Results: The demographic data and clinical progression, anterior and posterior height vertebral, the sagittal index and Cobb Angles were similar for both groups.

 However, those undergoing long fixation exhibited better long-term outcomes (i.e., local kyphosis (GB: 15.10 vs. GA: 22.3; P = 0.003) and sagittal index of Farcy (GB: 16, 35 vs. 24.8; p = 0.011)). However, there was no significative difference

Conclusion: Based on our small sample, we concluded that those patients undergoing long-fixation of TL burst fractures had the highest rates of kyphosis correction, and greatest incidence of maintaining correction over the long-term vs. short fixation patients.

 

Keywords: Burst Fracture; Short Fusion; Long Fusion; Pedicle Screw Fixation

References

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  9. Sapkas G., et al. “Treatment of unstable thoracolumbar burst fractures by indirect reduction and posterior stabilization: short-segment versus long-segment stabilization”. The Open Orthopaedics Journal 4 (2010): 7-13.
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Citation

Citation: Said Hilmani., et al. “Short Segment Versus Long Segment Pedicular Fixation of Thoracolumbar Burst Fracture. A Comparative Study". Acta Scientific Orthopaedics 5.6 (2022): 09-13.

Copyright

Copyright: © 2022 Said Hilmani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days
Impact Factor1.014

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