ArticleAmerican journal of translational research2022
Retrospective analysis of reasons and revision strategy for failed thoracolumbar fracture surgery by posterior approach: a series of 31 cases.
Article in American journal of translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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4 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.
- Accuracy and clinical outcomes of TiRobot-assisted pedicle screw fixation for thoracolumbar fractures: a meta-analysis.Journal of robotic surgery · 2026Pooled it
- Vertebral body expansion and percutaneous short-segment posterior fixation of thoracic and lumbar fractures requiring corpectomy: a retrospective single-center study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Application of the pivot forward combined leveraging technique in the treatment of thoracolumbar fractures: a finite element analysis and clinical study.Frontiers in surgery · 2026Article
- Surgical Decision-Making in Thoracolumbar Fractures: A Systematic Review of Anterior and Posterior Approach.Journal of orthopaedic case reports · 2025Review
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
objectivesThis study aimed to analyze the reasons for failed thoracolumbar fracture treated with posterior surgical approaches and to discuss the revision strategies for the surgical treatment.
methodsWe retrospectively studied the patients that received failed thoracolumbar fracture (T11-L2) treatment with posterior approach and underwent revision surgery in our spine department from March 2010 to December 2020.
resultsA total of 31 patients were included in this study. There were 4 (12.9%) cases of A3, 2 (6.5%) cases of B1, 5 (16.1%) cases of B2, 7 (22.6%) cases of B3, and 13 (41.9%) cases of C, according to the AO classification for thoracolumbar injuries. For load sharing classification, 26 (83.9%) cases ≥7, and 5 (16.1%) cases < 7. Regarding to the reasons for surgery failure, 26 cases (83.9%) were due to fracture of the internal fixation (pedicle screw or connecting rod) and kyphosis, 3 cases (9.7%) were due to misplacement of the posterior pedicle screw, 1 case (3.2%) was due to incomplete posterior decompression, and 1 case (3.2%) was due to scoliosis after the removal of the internal fixation. The revision surgery methods included: 2 cases (6.5%) with anterior approach, 17 cases (54.8%) with posterior approach, and 12 cases (38.7%) with posterior and anterior approach. All the patients were followed-up for 12-24 months after the revision surgery, and successful bony fusion with no internal fixation failure was observed. The kyphosis angle improved significantly after the revision surgery in 26 patients at the last follow-up, and the final correction rate was 91.8%. Frankel grading system, visual analog scale (VAS), Oswestry Disability Index (ODI) showed significant improvement at the last follow-up.
conclusionsTypes B and C of thoracolumbar fracture, load sharing classification ≥7, and the posterior approach could lead to a high failure rate. Fracture of the internal fixation was the main reason for surgery failure. Performing the posterior approach is inappropriate for every thoracolumbar fracture. Reasonable revision surgery can achieve good results for posterior surgery failure in most cases.
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36247239PMC9556505W4306668575What OpenQuestion holds
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