ArticleBiomedical journal2016
Two additional augmenting screws with posterior short-segment instrumentation without fusion for unstable thoracolumbar burst fracture - Comparisons with transpedicular grafting techniques.
Article in Biomedical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The role of intracorporeal cancellous bone grafting in the biological augmentation of vertebral body fractures: a literature review, historical perspective, and update on imaging and bone healing outcomes.Journal of spine surgery (Hong Kong) · 2026Review
- 4 pedicle screw mono-segment versus 6 pedicle screw short-segment fixation in the treatment of thoracolumbar endplate fractures: finite element analysis and clinical follow-up.Frontiers in bioengineering and biotechnology · 2025Article
- Article
- Outcomes for standalone anterolateral corpectomy for thoracolumbar burst fractures.Neurosurgical review · 2024Article
- Short segment posterior fixation of unstable thoracolumbar vertebral fractures with fractured vertebra augmentation with intermediate pedicle screw - a clinicoradiological analysis.American journal of neurodegenerative disease · 2024Article
- Effect of bone cement-reinforced pedicle screws combined with fusion repositioning therapy on lumbar spine function and postoperative complications in patients with severe lumbar spondylolisthesis.Contemporary clinical trials communications · 2023Article
- Incidence and Associated Factors for Kyphosis Progression in Short-Segment Fixation Thoracolumbar Spine Fractures.International journal of spine surgery · 2022Article
- Short-segment fixation and transpedicular bone grafting for the treatment of thoracolumbar spine fracture.Frontiers in surgery · 2022Article
- Short-Segment Instrumentation with Fractured Vertebrae Augmentation by Screws and Bone Substitute for Thoracolumbar Unstable Burst Fractures.BioMed research international · 2019Article
- Treatment of Fractures of the Thoracolumbar Spine: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).Global spine journal · 2018Article
- Pralidoxime and pesticide poisoning: A question of severity?Biomedical journal · 2016Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTranspedicular grafting techniques with posterior short-segment instrumentation have demonstrated to prevent high implant failure in unstable thoracolumbar burst fractures. We tested our hypothesis that short-segment instrumentation with two additional augmenting screws in the injured vertebra could provide stability and was similar to those of the transpedicular grafting technique.
methodsTwenty patients belonged to group A; treated with short-segment pedicle screw fixation and reinforced by two augmenting screws at the fractured vertebra. Group B had thirty-one patients; the fractured vertebra was augmented with transpedicular autogenous bone graft. Group C had twenty patients; the injured vertebra was strengthened with calcium sulfate cement. Clinical outcome and radiographic parameters were compared.
resultsGroup A had the least blood loss (101.7 ± 72.5 vs. 600 ± 403.1 vs. 247.5 ± 164.2 ml, p < 0.001) and the least operation time (142.0 ± 57.2 vs. 227.2 ± 43.6 vs. 161.6 ± 28.5 min, p < 0.001). However, group A had the highest collapsed rate of the body height at the 18-month follow-up (10.5 ± 7.0 vs. 4.6 ± 4.8 vs. 7.2 ± 8.5%, p = 0.002). The failure rate, include implant failure or loss of 10° or more of correction, group B had the lowest failure rate (10% vs. 3.2% vs. 10%, p = 0.542). The group A had the highest rate of return to their previous employment (50% vs. 38% vs. 35%, p = 0.265).
conclusionsCompared with transpedicular grafting techniques, additional two "augmenting screws" in the fracture vertebra with short-segment instrumentation are sufficient for one-level thoracolumbar burst fracture.
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