ArticleCureus2025
Mono-Segment Fixation Versus Short-Segment Fixation in Adult Patients With Thoracolumbar Spine Fractures: A Randomized Controlled Trial.
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.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Thoracolumbar spine fractures account for the majority of all spinal injuries and pose a significant challenge in trauma care. Fixation techniques have evolved over the decades, with pedicle screw fixation becoming the norm. However, the debate continues regarding the number of vertebral levels that should be included in the fixation construct for optimal outcomes in case of single-level injuries. While long-segment fixation provides robust stability, it sacrifices motion segments, potentially increasing stiffness and adjacent segment degeneration. Short-segment fixation (SSF), involving one vertebra above and below the fracture, reduces stiffness and implant cost. Mono-segmental fixation (MSF), a recently introduced concept, advocates instrumenting only the fractured vertebra and one adjacent vertebra either above or below. We believe that MSF could provide outcomes similar to SSF with fewer complications, shorter operative times, and reduced blood loss in specific fracture patterns. Hence, this study was designed as a single-center randomized controlled trial to test this hypothesis. Methodology Twenty-six patients were randomized into the two intervention groups: Group A (MSF,
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