Observational studyBMC musculoskeletal disorders2020
Percutaneous versus open posterior stabilization in AOSpine type A3 thoracolumbar fractures.
Observational study in BMC musculoskeletal disorders, 2020. 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.
- Expanded Indications for Hybrid Spinal Fixation Systems; Combined Percutaneous Pedicle Screw Fixation and Open Approaches.Journal of personalized medicine · 2026Review
- Management of Fractures of the Thoracolumbar Spine-A Narrative Review.Journal of clinical medicine · 2026Review
- Open versus percutaneous short-segment posterior instrumentation in thoracolumbar junction burst fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Comparative Radiologic and Morphologic Analysis of Posterolateral Fusion and Percutaneous Pedicle Screw Fixation for Thoracolumbar Junction Burst Fractures.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
- [Traumatic fractures of the thoracolumbar spine].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- [Injuries to the thoracic and lumbar spine in children under 16 years of age-Reality of care in German-speaking countries: a registry study].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Traumatic multiple-level continuous and noncontinuous thoracolumbar spinal fractures management in adult patients: A single-center experience.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Outcome Measures of Open versus Minimally Invasive Surgery for Thoracolumbar Spinal Traumatic Fractures: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Natural Experiments as a Study Method in Spinal Trauma Surgery: A Systematic Review.Global spine journal · 2024Review
- Return to sports/activity level after 360° thoracolumbar fusion after burst fractures in young patients.Brain & spine · 2024Article
- Finite element analysis of short and long posterior spinal instrumentation and fixation for different pathological thoracolumbar vertebral fractures.World neurosurgery: X · 2023Article
- One-Year Clinical Outcomes of Minimal-Invasive Dorsal Percutaneous Fixation of Thoracolumbar Spine Fractures.Medicina (Kaunas, Lithuania) · 2022Article
- Comparison of pedicle screw fixation by four different posterior approaches for the treatment of type A thoracolumbar fractures without neurologic injury.Frontiers in surgery · 2022Article
- Is Less Really More? Economic Evaluation of Minimally Invasive Surgery.Global spine journal · 2021Article
- Profit Analysis of Minimal-invasive Approaches for Surgical Treatment of A3 Spinal Burst Fractures.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this retrospective cohort study was to compare treatment strategies of two level-one trauma centers regarding clinical and radiological outcomes focusing on non-osteoporotic AOSpine type A3 fractures of the thoracolumbar spine at levels T11 to L2.
methodsEighty-seven patients between 18 and 65 years of age that were treated operatively in either of two trauma centers were included. One treatment strategy includes open posterior stabilization whereas the other uses percutaneous posterior stabilization. Both included additional anterior fusion if necessary. Demographic data, McCormack classification, duration of surgery, hospital stay and further parameters were assessed. Owestry Disability Index (ODI), Visual Analog Scale (VAS) and SF-36 were measured for functional outcome. Bisegmental kyphosis angle, reduction loss and sagittal alignment parameters were assessed for radiological outcome. Follow up was at least 24 months.
resultsThere was no significant difference regarding our primary functional outcome parameter (ODI) between both groups. Regarding radiological outcome kyphosis angle at time of follow up did not show a significant difference. Reduction loss at time of follow up was moderate in both groups with a significantly lower rate in the percutaneously stabilized group. Surgery time was significantly shorter for posterior stabilization and anterior fusion in the percutaneous group. Time of hospital stay was equal for posterior stabilization but shorter for anterior fusion in the open stabilized group.
conclusionBoth treatment strategies are safe and effective showing only minor loss of reduction. Clinical relevant differences in functional and radiographic outcome between the two surgical groups could not be demonstrated.
trial registrationIt was conducted according to ICMJE guidelines and has been retrospectively registered with the German Clinical Trials Registry (identification number: DRKS00015693, 07.11.2018).
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