Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
Different pedicle osteosynthesis for thoracolumbar vertebral fractures in elderly patients.
Observational study 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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 33 citations in OpenAlex.
- The impact of pedicle screw transitional segment and thread distribution on postoperative rod-screw system failure : insights from clinical research and mechanical testing.Bone & joint research · 2026Article
- Efficacy and safety of hollow pedicle screw-anchored bone cement combined with posterior long-segment fixation for Stage III Kümmell's disease.Joint diseases and related surgery · 2025Article
- Cardiopulmonary Cement Embolism Following Cement-Augmented Pedicle Screw Fixation: A Narrative Review.Medicina (Kaunas, Lithuania) · 2023Review
- Study on the Optimal Surgical Scheme for Very Severe Osteoporotic Vertebral Compression Fractures.Orthopaedic surgery · 2023Article
- Conservative treatment of spinal tuberculosis in a retrospective cohort study over 20-year period: high eradication rate and successful health status can be expected.Annals of joint · 2023Article
- Minimally Invasive Short-Segment Anteroposterior Surgery for Thoracolumbar Osteoporotic Fractures with Canal Compromise: A Prospective Study with a Minimum 2-Year Follow-up.Asian spine journal · 2022Article
- Long versus Short Segment Instrumentation in Osteoporotic Thoracolumbar Vertebral Fracture.Asian spine journal · 2021Article
- Pulmonary cement embolism following transpedicular screws placement for thoracolumbar fractures.Surgical neurology international · 2021Article
- Clinical comparison between simple laminectomy and laminectomy plus posterior instrumentation in surgical treatment of cervical myelopathy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Back to the future in traumatic fracture shapes of lumbar spine: An analysis of risk of kyphosis after conservative treatment.Journal of craniovertebral junction & spineArticle
- Effectiveness and reliability of cannulated fenestrated screws augmented with polymethylmethacrylate cement in the surgical treatment of osteoporotic vertebral fractures.Journal of craniovertebral junction & spineArticle
- Sublaminar fixation versus hooks and pedicle screws in scoliosis surgery for Marfan syndrome.Journal of craniovertebral junction & spineArticle
- Surgical treatment of spinal deformities in Marfan syndrome: Long-term follow-up results using different instrumentations.Journal of craniovertebral junction & spineArticle
- Over 70° thoracic idiopathic scoliosis: Results with screws or hybrid constructs.Journal of craniovertebral junction & spineArticle
- Is cast an option in the treatment of thoracolumbar vertebral fractures?Journal of craniovertebral junction & spineArticle
- Clinical and radiological union rate evaluation of type 2 odontoid fractures: A comparison between anterior screw fixation and halo vest in elderly patients.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPedicle screws' stability, especially in osteoporotic fractures, is a really problem for spinal surgeons. Nowadays, little is known about the influence of different screw types and amount of cement applied. This single-center retrospective observational study has the aim of evaluating the middle- to long-term mechanical performances of different types of screws in elderly patients with thoracolumbar fractures. MATERIALS AND
methodsA total of 91 patients (37 males and 54 females), treated between 2011 and 2016, affected by somatic osteoporotic fractures aged over 65 years were treated. We divided patients into three different populations: solid screws, cannulated screws and cannulated screws augmented with poly methyl methacrylate cement (PMMA). Patients were radiologically evaluated with X-rays in pre- and post-surgery and at the follow-up (FU). Clinical evaluations were made with VAS and Oswestry Disability Index.
resultsA total of 636 screws were implanted (222 pedicle screws, 190 cannulated and 224 cannulated screws with PMMA augmentation). At FU, we found significative differences between populations in terms of mechanical performances. We founded five cases of loosening; these were reported in solid screws group and in cannulated screws one. No mechanical failures were reported in cannulated screws with augmentation of PMMA. No rods breakage cases were reported.
conclusionAll stabilization methods showed good clinical results, but cannulated screws augmented with PMMA seem to provide better implant stability with the lowest rate of loosening. These slides can be retrieved under Electronic Supplementary Material.
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