Posterior short segment fixation including the fractured vertebra combined with kyphoplasty for unstable thoracolumbar osteoporotic burst fracture

Various studies have described the efficacy and safety of the treatment for unstable thoracolumbar osteoporotic burst fracture, however, there is still no consensus on the optimal treatment regimen. The aim of this study was to evaluate the clinical and radiographic results of posterior short segmen...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2020-08, Vol.21 (1), p.566-566, Article 566
Main Authors: Hu, Xudong, Ma, Weihu, Chen, Jianming, Wang, Yang, Jiang, Weiyu
Format: Article
Language:English
Subjects:
Analysis
Back pain
Biomechanics
Care and treatment
Cement
Fracture Fixation, Internal
Fractures
Humans
Internal fixation
Kyphoplasty
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - injuries
Lumbar Vertebrae - surgery
Musculoskeletal diseases
Osteoporosis
Osteoporotic
Patients
Posterior shout segment fixation
Retrospective Studies
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Spine
Surgery
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - injuries
Thoracic Vertebrae - surgery
Thoracolumbar burst fracture
Treatment Outcome
Vertebrae
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Summary:Various studies have described the efficacy and safety of the treatment for unstable thoracolumbar osteoporotic burst fracture, however, there is still no consensus on the optimal treatment regimen. The aim of this study was to evaluate the clinical and radiographic results of posterior short segment fixation including the fractured vertebra (PSFFV) combined with kyphoplasty (KP) for unstable thoracolumbar osteoporotic burst fracture. Forty-three patients with unstable thoracolumbar osteoporotic burst fracture underwent PSFFV combined with KP from January 2015 to December 2017 were analyzed retrospectively. Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) was used to evaluate the clinical outcome, radiological parametres including local kyphotic Cobb angle, percentage of the anterior, middle and posterior height of the fractured vertebra were measured and compared pre-operation, post-operation and at final follow-up. All patients underwent surgery successfully and with an average follow-up of 19.2 ± 6.7 months (rang 15-32). The VAS decreased from 7.1 ± 2.3 pre-operation to 1.6 ± 0.4 at the final follow-up (p 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-020-03576-9