ReviewJournal of clinical orthopaedics and trauma
Current status of short segment fixation in thoracolumbar spine injuries.
Review in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Predictors of failure in posterior short segment instrumentation for thoracolumbar burst fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Pooled it
- Surgical management and outcomes of ankylosing spondylitis fractures in adults: a systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Integration of Stent Screw-Assisted Internal Fixation Into Posterior Fixations for High-Grade Thoracolumbar Spine Compression Fractures (SAIF-Rod).International journal of spine surgery · 2026Article
- Biomechanical comparison of posterior short-segment fixation with or without intermediate screws for thoracolumbar burst fractures under normal and osteoporotic conditions: a finite element analysis.Asian spine journal · 2026Article
- Clinical and radiographic outcomes of adjacent segment degeneration after short-segment fixation for lumbar vertebral fracture.Frontiers in surgery · 2026Article
- Factors that influence long term instrumentation stability in patients with unstable thoracolumbar injuries.World journal of orthopedics · 2025Article
- Anterior tuberculosis lesion debridement and bone grafting combined with short-segment internal fixation in the treatment of thoracolumbar tuberculosis.Journal of orthopaedic surgery and research · 2025Article
- Article
- Risk factors for failure in short segment pedicle instrumentation in thoracolumbar fractures.Brain & spine · 2025Article
- Thoracolumbar fractures: Factors predicting failure of percutaneous short- and long-segment posterior fixation.Brain & spine · 2025Article
- Risk factors for Implant Failure in Thoracolumbar Fractures Treated with Posterior Long-Segment Instrumentation.Clinics in orthopedic surgery · 2024Article
- Article
- [Effectiveness of unilateral biportal endoscopy technique combined with percutaneous pedicle screw fixation in treatment of lumbar burst fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Outcomes for standalone anterolateral corpectomy for thoracolumbar burst fractures.Neurosurgical review · 2024Article
- Explantation of Pedicle Screws: When, Why, and How?Cureus · 2024Review
- Should the level of the posterior instrumentation combined with the intermediate screw be a short segment or a long segment in thoracolumbar fractures with fusion to the fractured segment?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- The efficacy of machine learning models in forecasting treatment failure in thoracolumbar burst fractures treated with short-segment posterior spinal fixation.Journal of orthopaedic surgery and research · 2024Article
- The effect of the size of pedicle screw on the long-term radiological and clinical results of short-segment posterior instrumentation in the management of thoracolumbar vertebral fractures.Acta orthopaedica et traumatologica turcica · 2024Article
- Analysis of factors associated with the failure of treatment in thoracolumbar burst fractures treated with short-segment posterior spinal fixation.Journal of orthopaedic surgery and research · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Short segment fixation aims to restore spinal stability and alignment in thoracolumbar spine injuries while preserving spinal motion by decreasing the levels of spine involved in fixation. In its simplest form it applies to fixation one level above and one level below the fractured vertebra. It has proven effective with good clinical, functional and radiological results in well selected cases. However not insignificant rates of sagittal collapse and recurrence of kyphosis with or without clinical implications have also been reported. Most of the failures were attributed to lack of anterior column integrity and relatively inferior robustness of earlier posterior short segment constructs. With better understanding of fracture biomechanics, better implant designs and evolution of strategies to increase the biomechanical strengths of posterior constructs, the rates of kyphosis recurrence and implant failure have been significantly reduced. Although there is lack of robust evidence to guide a surgeon to the best approach for a particular fracture, adhering to basic biomechanical principals increases the efficacy and reliability of short segment fixation. This narrative review highlights the status of short segment fixation in dorsolumbar spine injuries with emphasis on patient selection and strategies to increase effectiveness and reduce failures of short segment fixation.
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