ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017
Incomplete burst fractures of the thoracolumbar spine: a review of literature.
Review in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- [Indications for surgical treatment of traumatic fractures of the thoracic spine and lumbar spine].Unfallchirurgie (Heidelberg, Germany) · 2025Guideline
- Tracing the evolving dynamics and research hotspots of spinal cord injury and surgical decompression from 1975 to 2024: a bibliometric analysis.Frontiers in neurology · 2024Pooled it
- The influence of osteoporotic vertebral fractures on global sagittal alignment in elderly patients: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Minimally invasive surgical techniques for the treatment of thoracolumbar burst fractures.Journal of clinical orthopaedics and trauma · 2026Review
- Treatment strategies for incomplete burst fractures (AO Spine A3) at the thoracolumbar junction -results of a nationwide German survey.Brain & spine · 2026Article
- The Effectiveness and Practical Application of Different Reduction Techniques in Burst Fractures of the Thoracolumbar Spine.Journal of clinical medicine · 2025Article
- [Current surgical treatment concepts for traumatic thoracic and lumbar vertebral fractures in adults with good bone quality].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Long-Term Outcomes of Nano-Hydroxyapatite/Polyamide 66 Strut in Thoracolumbar Burst Fractures.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Association between final local kyphosis angle and residual back pain in traumatic vertebral fractures at the thoracolumbar junction with posterior stabilization using percutaneous pedicle screws.Journal of spine surgery (Hong Kong) · 2024Article
- Thoracolumbar injuries: operative treatment: indications, techniques, timing and implant removal. Current practice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Biomechanical Comparisons between One- and Two-Compartment Devices for Reconstructing Vertebrae by Kyphoplasty.Bioengineering (Basel, Switzerland) · 2024Article
- Returning to Work After Traumatic Spine Fractures: Current Status in a Military Hospital.Military medicine · 2024Article
- Article
- Study Protocol for a Randomized Controlled Clinical Trial on the Outcome of Surgical Versus Primary Nonsurgical Treatment of Traumatic Thoracolumbar Spine Burst Fractures in Patients Without Neurological Symptoms-A34RCT.Neurosurgery practice · 2024Article
- The Influence of Comminution and Posterior Ligamentous Complex Integrity on Treatment Decision Making in Thoracolumbar Burst Fractures Without Neurologic Deficit?Global spine journal · 2024Article
- Dyadic adjustment and the relationship between sexual self-consciousness and sexual dysfunction in individuals with spinal cord injuries: A descriptive study.The journal of spinal cord medicine · 2024Article
- Is restoration of vertebral body height after vertebral body fractures and minimally-invasive dorsal stabilization with polyaxial pedicle screws just an illusion?Archives of orthopaedic and trauma surgery · 2024Article
- [Surgical management of acute traumatic spinal cord injury : Stability vs. functionality].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Factors Associated with Intradiscal Vacuum Phenomenon after Traumatic Thoracolumbar Fracture.Asian journal of neurosurgery · 2023Article
- Improvement of vertebral body fracture reduction utilizing a posterior reduction tool: a single-center experience.Journal of orthopaedic surgery and research · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this review was to analyze the biomechanical basis of incomplete burst fractures of the thoracolumbar spine, summarize the available treatment options with evidence from the literature, and to propose a method to differentiate fracture severity.
methodsThe injury pattern, classification, and treatment strategies of incomplete burst fractures of the thoracolumbal spine have been described following a review of the literature. All level I-III studies, studies with long-term results and comparative studies were included and summarized.
resultsDetails of five randomized control trials were included. Additionally, three comparative studies and two studies with long-term outcomes were detailed in this review. The fracture severity reported in the included studies varied tremendously. Most classification used did not adequately describe the complexity of fracture configuration. A wide variety of treatment strategies were outlined, ranging from non-operative therapy to aggressive surgical intervention with combined anterior-posterior approaches. Thus, the treatment of incomplete burst fractures of the thoracolumbar spine is quite diverse and remains controversial.
conclusionsIncomplete burst fractures can differ tremendously regarding the degree of instability they confer to the thoracolumbar spine. Based on a detailed review of the literature, it is clear that good results can be obtained with both non-operative and operative strategies to treat these injuries. In the authors' opinion, the intervertebral disc plays a key role in determining the long-term clinical and radiological outcome. Thus, an incorporation of the intervertebral disc pathology into the existing classification systems would be a valuable prognostic factor.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.