ArticleFrontiers in medicine2025
Retrospective analysis of clinical and radiological outcomes of thoracolumbar vertebral fractures treated with monoplanar pedicle screws compared with fixed-axis and polyaxial screws.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Does Size Matter? Evaluating the Impact of Intermediate Screw Length in Short-Segment Fixation of Thoracolumbar A3-A4 Fractures.Journal of clinical medicine · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Pedicle screw fixation is widely utilized in thoracolumbar fractures to restore vertebral height and spinal alignment. Screw head design varies among fixed-axis (rigid), polyaxial (multiplanar mobility), and monoplanar (coronal mobility) types, impacting surgical outcomes. This study compares clinical and radiological outcomes of these screws. Methods: Seventy-five patients (2020-2024) with thoracolumbar fractures were divided into three groups: Group A (fixed-axis screws, Results: Group C (monoplanar) demonstrated significantly lower blood loss (64 ± 11.1 mL vs. 308.6 ± 88.8 mL, Conclusion: Monoplanar pedicle screws, combining coronal mobility for minimally invasive placement and sagittal rigidity for stability, reduce blood loss and operative time compared to fixed-axis screws while maintaining comparable correction retention to polyaxial screws. These findings position monoplanar screws as a balanced option for thoracolumbar fracture fixation, optimizing minimally invasive benefits without compromising mechanical strength.
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