Percutaneous versus open posterior stabilization in AOSpine type A3 thoracolumbar fractures View Full Text


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Article Info

DATE

2020-02-05

AUTHORS

Christoph J. Erichsen, Christoph-Eckhard Heyde, Christoph Josten, Oliver Gonschorek, Stephanie Panzer, Christian von Rüden, Ulrich J. Spiegl

ABSTRACT

BackgroundThe purpose of this retrospective cohort study was to compare treatment strategies of two level-one trauma centers regarding clinical and radiological outcomes focusing on non-osteoporotic AOSpine type A3 fractures of the thoracolumbar spine at levels T11 to L2.MethodsEighty-seven patients between 18 and 65 years of age that were treated operatively in either of two trauma centers were included. One treatment strategy includes open posterior stabilization whereas the other uses percutaneous posterior stabilization. Both included additional anterior fusion if necessary. Demographic data, McCormack classification, duration of surgery, hospital stay and further parameters were assessed. Owestry Disability Index (ODI), Visual Analog Scale (VAS) and SF-36 were measured for functional outcome. Bisegmental kyphosis angle, reduction loss and sagittal alignment parameters were assessed for radiological outcome. Follow up was at least 24 months.ResultsThere was no significant difference regarding our primary functional outcome parameter (ODI) between both groups. Regarding radiological outcome kyphosis angle at time of follow up did not show a significant difference. Reduction loss at time of follow up was moderate in both groups with a significantly lower rate in the percutaneously stabilized group. Surgery time was significantly shorter for posterior stabilization and anterior fusion in the percutaneous group. Time of hospital stay was equal for posterior stabilization but shorter for anterior fusion in the open stabilized group.ConclusionBoth treatment strategies are safe and effective showing only minor loss of reduction. Clinical relevant differences in functional and radiographic outcome between the two surgical groups could not be demonstrated.Trial registrationIt was conducted according to ICMJE guidelines and has been retrospectively registered with the German Clinical Trials Registry (identification number: DRKS00015693, 07.11.2018). More... »

PAGES

74

References to SciGraph publications

  • 2013-06-06. Repositionsmöglichkeiten mittels perkutaner dorsaler Instrumentierung in DER UNFALLCHIRURG
  • 2013-09-10. Percutaneous short-segment pedicle screw placement without fusion in the treatment of thoracolumbar burst fractures: is it effective?: comparative study with open short-segment pedicle screw fixation with posterolateral fusion in ACTA NEUROCHIRURGICA
  • 2011-01-14. Rekonstruktion der ventralen Säule nach thorakolumbalen Wirbelsäulenverletzungen in DER UNFALLCHIRURG
  • 2016-02-24. A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial in INTERNATIONAL ORTHOPAEDICS
  • 2006-04. Perkutane dorsale versus offene Instrumentation bei Frakturen des thorakolumbalen Übergangs in DER UNFALLCHIRURG
  • 2006-12-13. Five-year follow-up examination after purely minimally invasive posterior stabilization of thoracolumbar fractures: a comparison of minimally invasive percutaneously and conventionally open treated patients in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2011-08-02. Biomechanical analysis of the spino-pelvic organization and adaptation in pathology in EUROPEAN SPINE JOURNAL
  • 2012-08-18. Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures: a prospective trial in EUROPEAN SPINE JOURNAL
  • 2015-08-18. Zeitverzögerte Indikationsstellung zur additiv ventralen Versorgung thorakolumbaler Berstungsfrakturen in DER UNFALLCHIRURG
  • 2012-08-01. Infected primary non-Hodgkin lymphoma of spine in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2012-08-01. Biomechanical efficacy of monoaxial or polyaxial pedicle screw and additional screw insertion at the level of fracture, in lumbar burst fracture: An experimental study in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2009-01-28. Operative Behandlung traumatischer Frakturen der Brust- und Lendenwirbelsäule in DER UNFALLCHIRURG
  • 2017-05-25. Incomplete burst fractures of the thoracolumbar spine: a review of literature in EUROPEAN SPINE JOURNAL
  • 2016-03-22. Biomechanical investigation of a minimally invasive posterior spine stabilization system in comparison to the Universal Spinal System (USS) in BMC MUSCULOSKELETAL DISORDERS
  • 2012-06-07. Thoracolumbar fracture reduction by percutaneous in situ contouring in EUROPEAN SPINE JOURNAL
  • 2007. Role of early minimal-invasive spine fixation in acute thoracic and lumbar spine trauma in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2009-04-28. Perioperative and short-term advantages of mini-open approach for lumbar spinal fusion in EUROPEAN SPINE JOURNAL
  • 2012-11-14. Perkutane dorsale Instrumentierung der thorakolumbalen Wirbelsäule in DER UNFALLCHIRURG
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    http://scigraph.springernature.com/pub.10.1186/s12891-020-3099-6

    DOI

    http://dx.doi.org/10.1186/s12891-020-3099-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1124633506

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32024494


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    45 schema:description BackgroundThe purpose of this retrospective cohort study was to compare treatment strategies of two level-one trauma centers regarding clinical and radiological outcomes focusing on non-osteoporotic AOSpine type A3 fractures of the thoracolumbar spine at levels T11 to L2.MethodsEighty-seven patients between 18 and 65 years of age that were treated operatively in either of two trauma centers were included. One treatment strategy includes open posterior stabilization whereas the other uses percutaneous posterior stabilization. Both included additional anterior fusion if necessary. Demographic data, McCormack classification, duration of surgery, hospital stay and further parameters were assessed. Owestry Disability Index (ODI), Visual Analog Scale (VAS) and SF-36 were measured for functional outcome. Bisegmental kyphosis angle, reduction loss and sagittal alignment parameters were assessed for radiological outcome. Follow up was at least 24 months.ResultsThere was no significant difference regarding our primary functional outcome parameter (ODI) between both groups. Regarding radiological outcome kyphosis angle at time of follow up did not show a significant difference. Reduction loss at time of follow up was moderate in both groups with a significantly lower rate in the percutaneously stabilized group. Surgery time was significantly shorter for posterior stabilization and anterior fusion in the percutaneous group. Time of hospital stay was equal for posterior stabilization but shorter for anterior fusion in the open stabilized group.ConclusionBoth treatment strategies are safe and effective showing only minor loss of reduction. Clinical relevant differences in functional and radiographic outcome between the two surgical groups could not be demonstrated.Trial registrationIt was conducted according to ICMJE guidelines and has been retrospectively registered with the German Clinical Trials Registry (identification number: DRKS00015693, 07.11.2018).
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