ArticleJournal of Korean Neurosurgical Society2019
Analysis of the Risk Factors for Unfavorable Radiologic Outcomes after Fusion Surgery in Thoracolumbar Burst Fracture : What Amount of Postoperative Thoracolumbar Kyphosis Correction is Reasonable?
Article in Journal of Korean Neurosurgical Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Pooled it
- Comparison between Short-Segment versus Long-Segment Screw Fixation in Osteoporotic Vertebral Compression Fractures in Thoracolumbar Junction with Myelopathy.Journal of Korean Neurosurgical Society · 2026Article
- Factors that influence long term instrumentation stability in patients with unstable thoracolumbar injuries.World journal of orthopedics · 2025Article
- Imaging observation of intervertebral disc degeneration in patients with old thoracolumbar fracture-related kyphotic deformity.Scientific reports · 2024Article
- Characteristics and mechanical mechanisms of intervertebral disc degeneration in old thoracolumbar fractures with kyphosis: clinical observations and finite element analyses.BMC musculoskeletal disorders · 2024Observational
- Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures.Medicina (Kaunas, Lithuania) · 2023Article
- Recurrence of Local Kyphosis After Percutaneous Kyphoplasty: The Neglected Injury of the Disc-Endplate Complex.Clinical interventions in aging · 2023Article
- Predictors of adverse events after percutaneous pedicle screws fixation in patients with single-segment thoracolumbar burst fractures.BMC musculoskeletal disorders · 2022Article
- Radiographic Outcomes of Thoracolumbar AOSpine A3 and A4 Fractures Treated With External Bracing.Cureus · 2022Article
- Clinical and Radiological Factors Affecting Thoracolumbar Fractures Outcome: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Kyphosis After Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Classification and Radiological Diagnosis of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Analysis of the Effect and Prognostic Factors Associated with Postural and Instrumental Reduction in Thoracolumbar Burst Fractures.Journal of biomedical physics & engineering · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aims in the management of thoracolumbar spinal fractures are not only to restore vertebral column stability, but also to obtain acceptable alignment of the thoracolumbar junction (T-L junction) to prevent complications. However, insufficient surgical correction of the thoracolumbar spine would be likely to cause late progression of abnormal kyphosis. Therefore, we identified the surgical factors that affected unfavorable radiologic outcomes of the thoracolumbar spine after surgery.
methodsThis study was conducted in a single institution from January 2007 to December 2013. A total of 98 patients with unstable thoracolumbar spine fracture were included. In these patients, fixation was done through transpedicular screws with rods by three surgical patterns. We reviewed digital radiographs and analyzed the images preoperatively and postoperatively during follow-up visits to compare the change of the thoracolumbar Cobb angle with radiologic parameters and clinical outcomes. The unfavorable radiologic group was defined as the patients who were measured as having greater than 20 degrees of thoracolumbar Cobb angle on the last follow-up, or who underwent kyphotic progression of thoracolumbar Cobb angle greater than 10 degrees from the immediate postoperative state to final follow-up, or who had overt instrument failure with/without additional surgery. We assessed the risk factors that affected the unfavorable radiologic outcomes.
resultsWe had 43 patients with unfavorable radiologic outcomes, including 35 abnormal thoracolumbar alignments and 14 instrumental failures with/without additional surgery. The multivariate logistic regression test showed that immediate postoperative T-L junction Cobb angle less than 10.5 degrees was a statistically significant risk factor, as well as the presence of osteoporosis (p=0.017 and 0.049, respectively).
conclusionInsufficient correction of thoracolumbar kyphosis was considered to be a major factor of an unfavorable radiological outcome. The spinal surgeon should consider that having a T-L junction Cobb angle larger than 10.5 degrees immediately after surgery could result in an unfavorable radiological outcome, which is related to a poor clinical outcome.
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