Evidence map›Paper›PMID 42242768›Full record

ArticleJournal of Korean Neurosurgical Society2026

Comparison between Short-Segment versus Long-Segment Screw Fixation in Osteoporotic Vertebral Compression Fractures in Thoracolumbar Junction with Myelopathy.

Chan Yang Noh, Jin Hoon Park, Jae Hwan Cho, Sung Bum Kim, Chongman Kim, Sun Woo Jang, Danbi Park, Sang Hoon Hwang, Min Han Kim, So Jin Song and 2 more

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Article in Journal of Korean Neurosurgical 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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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Chan Yang NohDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jin Hoon ParkDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. spinejhpark@naver.com.
Jae Hwan ChoDepartment of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sung Bum KimDepartment of Neurosurgery, Kyung-Hee University Medical Center, Seoul, Korea.
Chongman KimDepartment of Industrial and Management Engineering, Myongji University, Seoul, Korea.
Sun Woo JangDepartment of Neurological Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Danbi ParkDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Sang Hoon HwangDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Min Han KimDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
So Jin SongDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Il Young LeeDepartment of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean Spinal Osteoporosis SocietyThe Korean Spinal Osteoporosis Society, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteopenic and osteoporotic vertebral compression fracture (OVCF) is a prevalent clinical problem, particularly in the elderly. Although the majority of compression fractures do not result in myelopathy and are managed nonoperatively, surgical intervention, including screw fixation, may be necessary in select cases of OVCF associated with myelopathy. This retrospective study compared the clinical outcomes, radiographic results, and complication rates between short-segment and long-segment screw fixation in patients with OVCF at the thoracolumbar junction (TLJ) and myelopathic symptoms due to a spinal cord-compressing lesion.

methodsA total of 48 patients with OVCFs at the TLJ and myelopathic symptoms, who underwent either short-segment (two-level, n=17) or long-segment (>2 levels, n=31) screw fixation were studied. Postoperative outcomes including clinical parameters, radiographic parameters, and incidence of complications were evaluated.

resultsPostoperative improvement in Frankel scale was significantly greater in the short-segment versus long-segment fixation group (p=0.01). Long-segment fixation resulted in superior preservation of the postoperative correction angle (p<0.01). No difference in incidence of mechanical failure was demonstrated between the two groups (p=0.99).

conclusionShort-segment fixation demonstrated greater postoperative neurological improvement and less invasiveness, whereas long-segment fixation was associated with superior preservation of the correction angle. It is also noteworthy that short-segment screw fixation is not predisposed to instrument failure compared to long-segment screw fixation. These findings suggest that short-segment screw fixation may be a viable option for many patients with OVCFs, depending on clinical condition.

Indexed as

Fractures, compressionOsteoporosisSpinal cord diseasesSpinal fusion

Identifiers

PMID42242768
PMCPMC13341206

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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.