Evidence map›Paper›PMID 36853432›Full record

ArticleInternational orthopaedics2023

Sagittal correction after short percutaneous fixation for thoracolumbar compression fractures: comparison of the combination of SpineJack® kyphoplasty and fractured vertebra screw fixation.

Mikael Finoco, Charles Dejean, David Giber, Claire Bastard, Emmanuelle Ferrero, Arnaud Dubory, Marc Khalifé

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Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mikael FinocoOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 rue Leblanc, 75015, Paris, France.
Charles DejeanOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 rue Leblanc, 75015, Paris, France.
David GiberOrthopaedic Surgery Unit, Henri Mondor University Hospital, 1 rue Gustave Eiffel, 94000, Créteil, France.
Claire BastardOrthopaedic Surgery Unit, Henri Mondor University Hospital, 1 rue Gustave Eiffel, 94000, Créteil, France.
Emmanuelle FerreroOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 rue Leblanc, 75015, Paris, France.
Arnaud DuboryOrthopaedic Surgery Unit, Henri Mondor University Hospital, 1 rue Gustave Eiffel, 94000, Créteil, France.
Marc KhaliféOrthopaedic Surgery Unit, Hôpital Européen Georges Pompidou, APHP, 20 rue Leblanc, 75015, Paris, France. marc.khalife@aphp.fr.ORCID http://orcid.org/0000-0001-9022-3336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to compare two percutaneous pedicle fixations for the treatment of thoracolumbar fractures: one associating a jack kyphoplasty (SpineCut) and the other using intermediate screws (Trident).

methodsAll adult patients treated for single-level Magerl/AO type A thoracolumbar traumatic fractures in four orthopaedic departments, with SpineCut or Trident, with a one year minimum follow-up, were retrospectively included. Neurological disorders and osteoporotic fractures were not included. The following data were collected: age, sex, Magerl/AO type, type of surgery, and complications. Radiological parameters were analyzed on pre-operative CT scan, and on standing X-rays before discharge, at three months and one year post-operative: vertebral wedge angle (VWA), regional kyphosis angle (RKA), and traumatic regional angulation (TRA: difference between RKA and physiological values for each vertebra).

resultsEighty patients were included, with 42 patients in SpineCut group and 38 in Trident group. Mean age was 41 ± 15.7 years. TRA correction did not differ between the groups: respectively 11.2 ± 8.1° in SpineCut versus 10.2 ± 9.1° in Trident group (p = 0.52). TRA loss of correction between early post-operative and three months was statistically higher in Trident group: -4 ± 5.1° versus -1.5 ± 3.8° (p = 0.03). After 3 months, TRA correction loss was comparable between the groups. Multivariate analysis demonstrated that pre-operative VWA was the only factor significantly associated with early TRA correction loss (p = 0.01). VWA correction and loss of correction did not differ significantly between the groups. No complications were observed.

conclusionPercutaneous pedicle fixations of traumatic thoracolumbar fractures associating jack kyphoplasty and intermediate screws are both safe and efficient techniques.

Indexed as

Fractures, CompressionKyphoplastyKyphosisPedicle ScrewsSpinal FracturesAdultFracture Fixation, InternalHumansLumbar VertebraeMiddle AgedRetrospective StudiesThoracic VertebraeTreatment OutcomeIntermediate screwsKyphoplastyPercutaneous fixationSagittal alignmentSpineJack®Thoracolumbar fractures

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.