ArticleInternational journal of spine surgery2022
Unstable Thoracolumbar Injuries: Factors Affecting the Decision for Short-Segment vs Long-Segment Posterior Fixation.
Article in International journal of spine surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- 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
- The effect of fusion levels on clinical outcomes in traumatic lower lumbar vertebral fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- 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
- 4 pedicle screw mono-segment versus 6 pedicle screw short-segment fixation in the treatment of thoracolumbar endplate fractures: finite element analysis and clinical follow-up.Frontiers in bioengineering and biotechnology · 2025Article
- Spine Surgery in the Chilean Public Health System.International journal of spine surgery · 2023Article
- Unstable thoracolumbar injuries: A bibliometric analysis of the most influential papers.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFactors influencing the length of spinal instrumentation have been mostly evaluated in burst fractures, receiving more attention than other unstable thoracolumbar injuries. We aimed to evaluate clinical factors affecting surgical decision-making and associated complications.
methodsThis was a multicentric retrospective cohort study. Outcomes of patients with AO Spine injury classification types B2, B3, and C operated through an open posterior-only approach were analyzed. Length of instrumentation was correlated with age, type of injury, comorbidities, level of injury, neurological status, and complications.
resultsAmong 439 patients, 30.3% underwent short-segment fixation (SSF) and 69.7% underwent long-segment fixation (LSF). Type C injuries were treated with LSF in 89.4% of cases (
conclusionsUnstable thoracolumbar injuries were mostly treated by LSF. Length of instrumentation was affected by the type of spinal injury, location of the injury, and neurological status. SSF was associated with lower rates of early complications than LSF. CLINICAL RELEVANCE: The decision on the length of fixation in the surgical treatment of unstable thoracolumbar injuries is affected by different factors, and it will impact the rate of postoperative complications. LEVEL OF EVIDENCE: 3:
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