ArticleMusculoskeletal surgery2021
Surgical treatment of traumatic thoracolumbar fractures: a retrospective review of 101 cases.
Article in Musculoskeletal surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Posterior-only versus combined anterior-posterior approaches for thoracolumbar burst fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Posterior Fixation and Fusion (PFF) versus Combined Anterior and Posterior Fixation and Fusion (CAPFF) for type B and C thoracolumbar spine injuries: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Article
- Fracture of robust fusion mass after sequential long-construct instrumentation removal: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Assessing the impact of radiological measurement methods on forensic medical reports in traumatic vertebral compression fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Design and radiological confirmation of three-column cortical bone trajectory in the lower thoracic vertebrae.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 · 2025Article
- Selective facet joint and interlaminar fusion using unilateral biportal endoscopy for thoracolumbar compression fractures: a comparative study.Scientific reports · 2025Article
- A comparative study of robot-assisted navigation versus C-arm fluoroscopy in percutaneous pedicle screw fixation for the treatment of thoracolumbar fractures.Scientific reports · 2025Article
- Comparative Analysis of Three Vertebral Screw Placement Directions in Anterior Thoracolumbar Fracture Surgery: A Finite Element Study.Orthopaedic surgery · 2025Article
- Analysis of the short-term effect of three different level pedicle screws in the treatment of thoracolumbar type A fractures.Journal of orthopaedic surgery and research · 2025Article
- Correlation between anxiety, depression, and social stress in young patients with thoracolumbar spine fractures.World journal of psychiatry · 2025Article
- Unilateral biportal endoscopic decompression combined with percutaneous pedicle screw fixation offers new treatment option for thoracolumbar burst fractures with secondary spinal stenosis.Scientific reports · 2025Article
- Review
- The AO Spine Thoracolumbar Injury Classification System and Treatment Algorithm in Decision Making for Thoracolumbar Burst Fractures Without Neurologic Deficit.Global spine journal · 2024Article
- Improvement of vertebral body fracture reduction utilizing a posterior reduction tool: a single-center experience.Journal of orthopaedic surgery and research · 2023Article
- Biomechanical evaluation of different posterior fixation techniques for treating thoracolumbar burst fractures of osteoporosis old patients: a finite element analysis.Frontiers in bioengineering and biotechnology · 2023Article
- [The effect of the sequence of intermediate instrumentation and distraction-reduction of the fractured vertebrae on the surgical treatment of mild to moderate thoracolumbar burst fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- [Surgical treatment of delayed spinal cord injury caused by atypical compression of old thoracolumbar fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- The validity of posterior approach in thoracolumbar spine fracture surgery: A study of 104 cases with literature review.Journal of craniovertebral junction & spineArticle
- Construct length analysis of type B and C cervical and thoracolumbar fractures.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the outcomes of vertebral stabilisation after acute traumatic thoracolumbar fractures, correlating the outcome with patient clinical data, type and location of fracture, presence of neurological damage, timing of surgical intervention and number of instrumented levels. The results have been evaluated also through the AO classification and AOSIS score.
methodsRetrospective analysis of 101 patients with traumatic thoracolumbar injuries from T3 to L5 operated 2011-2016 by posterior or antero-posterior fixation. The demographic data, trauma dynamics, number and type of fractures, associated lesions, timing of surgery, hospital stay, AOSIS score, RKA, SF-36 and ODI scores, pre- and post-operative neurological condition (ASIA grade), possible complications and re-interventions were evaluated for each patient.
resultsFractures mainly involved the region between T11 and L2. The probability of medullary involvement increases with the increase in severity of the main fracture type with no relation with the vertebral region. Type B and C fractures were common in the thoracic region and rare in the thoracolumbar junction. ODI and SF-36 scores were significantly better in patients with a lower AOSIS score, specifically in lesions classified as type A, amyelic and with no comorbidity. No difference was found in the clinical scores between thoracic, thoracolumbar and lumbar fractures, nor between male and female patients. None of the 10 patients with ASIA A lesion at presentation achieved any degree of recovery: 50% of them had a thoracic lesion. Re-intervention rate was 15%. Hospital stay was significantly higher in patients with type C fractures, and complication rate was on average 14% (7% in type A fractures, 16% in B and 25% in C).
conclusionsThis study confirmed the validity of the posterior approach in the surgical treatment of thoracolumbar fractures. Outcomes and complication risks are related to fracture severity. Surgical treatment can be recommended even with an AOSIS score of two or three. The combined antero-posterior approach could be useful in cases with LSC > 8, especially in the thoracolumbar region. The degree of neurological recovery depends on fracture type, location, ASIA score and presence of comorbidities. Early intervention in myelic patients allows for a better prognosis. Level of evidence III retrospective case series.
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