ArticleJournal of thoracic disease2017
Do low profile implants provide reliable stability in fixing the sternal fractures as a "fourth vertebral column" in sternovertebral injuries?
Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The trial behind it
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Concomitant injuries in patients with thoracic vertebral body fractures-a systematic literature review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Current treatment and outcomes of traumatic sternovertebral fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Pooled it
- Current treatment and outcomes of traumatic sternal fractures-a systematic review.International orthopaedics · 2019Pooled it
- Spontaneous reduction of type I traumatic manubriosternal joint dislocation: A case report.The Journal of international medical research · 2026Article
- One case report: Surgical treatment of a flail chest caused by a wedge-shaped avulsion fracture of manubrium sterni.Trauma case reports · 2025Article
- Traumatic fractures of the sternum - typical distribution and need for subgroups within AO and OTA classification system?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Treatment approach for coexisting chest wall fractures and unstable thoracolumbar spine fractures in polytrauma patients requiring prone spine surgery.Trauma surgery & acute care open · 2024Article
- Secondary manubriosternal joint dislocation displacement in a teenager patient.Trauma surgery & acute care open · 2024Article
- Sternal fractures and thoracic injury: an analysis of 288 sternal fractures attending a major trauma centre.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Sternal fixation for isolated traumatic sternal fractures improves pain and upper extremity range of motion.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Clinical and radiological evaluation of thoracic spine fractures with or without sternal fracture: is there a need for ventral stabilization?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- No Need for Sternal Fixation in Traumatic Sternovertebral Fractures: Outcomes of a 10-Year Retrospective Cohort Study.Global spine journal · 2021Article
- Traumatic sternal fractures: a narrative review.Mediastinum (Hong Kong, China) · 2021Review
- Osteosynthesis of sternal fractures with double locking compression plate fixation: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- [Frequency and age distribution of combined sternovertebral injuries : Analysis of routine data from German hospitals 2005-2012].Der Unfallchirurg · 2018Article
- [Epidemiology, injury entities and treatment practice for chest wall injuries : Current scientific knowledge and treatment recommendations].Der Unfallchirurg · 2018Review
- [Lesions of the anterior chest wall-significance of additional fractures of the spine].Der Unfallchirurg · 2018Review
- Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures.Journal of thoracic disease · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFlexion and compression forces to the trunk can cause severe instability of the vertebral column and the anterior chest wall, mostly associated with an unstable fracture of the sternum. In combination, the worst case would be a complete disruption of the trunk. Some authors consider the sternum-rib-complex to be the fourth vertebral column. This study discusses the possibilities to treat instable trunk injuries with sternal fractures concomitant to vertebral spine fractures through anterior sternal plating employing a locked plate osteosynthesis in a low profile design instead of the use of bulky implants.
methods11 Patients suffering from at least one fracture of a vertebral body in combination with an unstable sternum fracture were stabilized through a locked plate osteosynthesis in low profile design at the sternum between November 2011 and October 2014. The vertebral spine injury was stabilized as well, if necessary. Patients were followed up with a look at the consolidation of the fractures and the question if any failure of the implants occurred.
resultsAnterior sternal plating was uneventful in all cases. All Sternal fractures showed sufficient consolidation. No failure of implants has been seen during follow up over two years..
conclusionsA locked plate osteosynthesis of a sternal fracture in low profile design seem to be an appropriate option for stabilization of the sternum in combined sternovertebral injuries.
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