ArticlePakistan journal of medical sciences2026
Efficacy of paraspinal muscle-sparing approach in the treatment of thoracolumbar burst fractures with neurological deficits.
Article in Pakistan journal of medical sciences, 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
Objective: To evaluate the clinical efficacy of pedicle screw fixation via a paraspinal muscle-sparing approach in the surgical treatment of thoracolumbar burst fractures(TCBFs) complicated by neurological deficits. Methodology: A total of 90 patients with TCBFs and associated neurological deficits, treated at The Affiliated Hospital of Bei-hua University between January 2024 to January 2025 were retrospectively analyzed. These patients were divided into a posterior midline approach(PMA) group, paraspinal muscle-sparing approach(PMSA) group and minimally invasive percutaneous approach(MIPA) group by the choice of surgical approach. Compared perioperative parameters, postoperative recovery, pre- and post-operative Cobb angles and anterior vertebral body height of the fractured segments among the three groups. Results: All surgical incisions healed primarily without infection and there was no cases of implant failure during the one-year follow-up. Significant differences were found among the three groups in duration of DoO, IBL, PDV and LoHS (all Conclusion: Pedicle screw fixation via a paraspinal muscle-sparing approach is a safe and effective treatment for TCBFs with neurological deficits, which can facilitate radiographic correction and promote postoperative neurological recovery.
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