Trial reportMedicine2018
Comparison of surgical or nonsurgical treatment outcomes in patients with thoracolumbar fracture with Score 4 of TLICS: A randomized, single-blind, and single-central clinical trial.
Trial report in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Intermediate screw placement improves initial radiographic alignment but not clinical outcomes following long-segment fixation for thoracolumbar fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Precision in the era of intelligent orthopedics: robot-assisted surgery enhances short-term recovery and long-term spinal stability for TLICS-4 thoracolumbar fractures.Neurosurgical review · 2026Article
- Management of Thoracolumbar Injury Classification and Severity Score (TLICS) 4 thoracolumbar fractures after natural disasters: Comparative outcomes of conservative and surgical treatments following the 2023 Türkiye earthquake.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- UANV: UNet-based attention network for thoracolumbar vertebral compression fracture angle measurement.Scientific reports · 2025Article
- Can conservative treatment be effective for thoracolumbar injuries patients with TLICS scores of 4 or 5? An analysis of initial radiological findings and clinical risk factors for treatment failure.BMC musculoskeletal disorders · 2024Article
- Deep Learning-Assisted Quantitative Measurement of Thoracolumbar Fracture Features on Lateral Radiographs.Neurospine · 2024Article
- How Should Patients with a Thoracolumbar Injury Classification and Severity Score of 4 Be Treated?Journal of clinical medicine · 2021Article
- Clinical efficacy and therapeutic value of delayed surgery in patients with symptomatic old thoracolumbar fractures.BMC surgery · 2021Article
- A modified MRI protocol for the increased detection of sacrococcygeal fractures in patients with thoracolumbar junction fractures.Scientific reports · 2021Article
- Clinical relevance and validity of TLICS system for thoracolumbar spine injury.Scientific reports · 2020Article
- Assessment of load-sharing thoracolumbar injury: A modified scoring system.World journal of clinical cases · 2020Article
- Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Non-randomized Clinical Trial.Bulletin of emergency and trauma · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracolumbar fractures are among the most common types of damages caused to the spinal cord .Therefore, the aim of this study was the comparison of surgical or nonsurgical treatment outcomes in patients with thoracolumbar fracture with score 4 of the thoracolumbar injury classification and severity (TLICS)
methods: This study was clinical trial and double blind. Patients with thoracolumbar fracture with score 4 of TLICS entered at this research. We divided patients in 2 groups randomly (each group 25 patients) and then we followed patients for 1 year after start of treatment. We checked duration of bedridden and absence work, pain every 3 months for 1 year and radiography every 3 months for 1 year.
resultsPain in operative group was lower than nonoperative group (P = .02). Regional sagittal angles (RSA) in operative group was lower than nonoperative group in all time (P = .0001). Mean of time of return to work in operative group was lower than nonoperative group (P = .001).
conclusionsPain and mean of time of return to work and RSA in operative group was lower than nonoperative group. The present data suggest the use of operative method in patients with thoracolumbar fracture with score 4 of TLICS.
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