ArticleCureus2025
Risk Factors of Correction Loss After Percutaneous Reduction and Fixation for Thoracolumbar Burst Fracture: A One-Year Follow-Up Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Study design and purpose: This is a single-center retrospective observational study. The study aimed to find out the risk factors for correction loss after percutaneous reduction and fixation for thoracolumbar burst fractures. MATERIALS AND
methodsThis study included 25 patients who underwent percutaneous reduction and pedicle fixation for thoracolumbar burst fractures from 2017 to 2024. Radiographic assessments were performed to identify vertebral wedge and focal kyphosis angles pre-operatively, post-operatively, and at one-year follow-up for all patients. Then, patients were divided into two groups: no correction loss (Group NCL), which had <5 degrees of correction loss, and correction loss (Group CL), which had 5 and >5 degrees of correction loss at one-year follow-up. Between the two groups, radiological parameters, BMI, osteoporosis, long/short construct, surgical time, intraoperative blood loss, postoperative complications, and revision surgery rate were evaluated. In comparing the groups, the Mann-Whitney U test analysis was used for continuous variables, while the Fisher exact test was used for dichotomous variables.
resultsThe pre-operative wedge angle was statistically greater in Group CL (23.1 ± 6.8, 17.8 ± 6.7 degrees,
conclusionsPercutaneous reduction and fixation for thoracolumbar fractures could correct and maintain good spinal alignment. The preoperative large vertebral wedge angle was the only risk factor for correction loss. Short fixation, osteoporosis, and vertebral comminution were not significant risk factors in our study.
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