ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026
Additional internal fixation improves fusion rate of anterior spondylodesis in thoracic and lumbar spine fractures - a CT-based analysis.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. 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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Abstract
aimLack of fusion remains a challenge in posterior-anterior spine surgery in general and after trauma. Additional anterior stabilizing procedures bear a risk of complications. There are still few studies available on the role of different surgical strategies to investigate fusion. This study was designed to enhance the role of additional stabilizing locking plates in cases of anterior bone graft-fusion procedures in spine trauma patients.
methods83 patients with posterior-anterior stabilization after spine trauma using a tricortical bone graft harvested from the iliac crest were examined retrospectively concerning fusion, surgical strategy (with / without additional anterior stabilizing plate) and patient derived factors (BMI, smoking habits, neurologic symptoms, ISS). Bony fusion was determined by CT scan.
resultsPatients with additional anterior plate showed a significantly higher fusion rate. Lack of fusion was detected in 10% of patients treated with additional plate anteriorly compared to 48% of patients with anterior bone graft alone (p = 0.035). Patient derived factors had no influence on fusion. BMI was comparable in both groups (23.5 in additional plate group, 25.1 in bone graft only-group), as was ISS (9 vs. 8.5), age (40.1ys vs. 41.7ys) and gender (male: female 1.3:1).
conclusionAdditional anterior plating devices lead to an improved fusion rate. Enhanced stability of the anterior construct inserted bone graft may be the reason due to higher stiffness and less motion of the segment. As in other fields of trauma surgery, lack of stability may be responsible for pseudarthrosis in spine surgery as well.
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