ISSN: 2630-5720 | E-ISSN: 2687-346X
Laparoscopic Endoscopic Surgical Science Long-Term Radiological Outcomes of Short-Segment Stabilization in Thoracic Burst Fracture [Haydarpasa Numune Med J]
Haydarpasa Numune Med J. 2022; 62(2): 173-177 | DOI: 10.14744/hnhj.2020.34711

Long-Term Radiological Outcomes of Short-Segment Stabilization in Thoracic Burst Fracture

Salim Katar1, Mehmet Onur Yuksel2, Serdar Çevik3, Pınar Aydın Öztürk4, Oğuz Baran5, Sevket Evran5
1Department of Neurosurgery, Balikesir University Faculty of Medicine, Balikesir, Turkey
2Department of Neurosurgery, Medipol University Faculty of Medicine, Istanbul, Turkey
3Department of Neurosurgery, Memorial Sisli Hospital, Istanbul, Turkey
4Department of Neurosurgery, Gazi Yasargil Research and Training Hospital, Diyarbakir, Turkey
5Department of Neurosurgery, Haseki Research and Training Hospital, Istanbul, Turkey

INTRODUCTION: Short-segment (SS) transpedicular instrumentation and distraction have been used as a popular method recently due to the kyphotic angulation and adequate spinal canal decompression provided by the fusion of fewer mobile vertebra segments. This study aims to demonstrate that adequate decompression of spinal canal and kyphosis angulation can be improved by SS instrumentation and distraction in thoracic vertebrae burst fracture.
METHODS: Patients who were admitted to our clinic for thoracic vertebra burst fractures between 2014 and 2017 and who underwent fusion with transpedicular screws were retrospectively analyzed.
RESULTS: Both the sagittal index (SI) and canal occupation rates (COR) showed statistically significant changes between the pre-operative and early post-operative periods (pSI=0.001, pCOR=0.001). Evaluation results of the patients at 2-year follow-up; mean SI was 16.2°±1.25° and the mean COR was 6.25±2.4%. There was no statistically significant difference between both SI and CORs postoperatively and after 2 years of follow-up (pSI=0.916, pCOR=0.565).
DISCUSSION AND CONCLUSION: We believe that SS stabilization is sufficient especially in patients with COR <40%, SI <25°, American Spinal Injury Association score E, and preserved posterior elements of the vertebra.

Keywords: Burst fracture, Short segment, Thoracic vertebrae, Transpedicular instrumentation

Salim Katar, Mehmet Onur Yuksel, Serdar Çevik, Pınar Aydın Öztürk, Oğuz Baran, Sevket Evran. Long-Term Radiological Outcomes of Short-Segment Stabilization in Thoracic Burst Fracture. Haydarpasa Numune Med J. 2022; 62(2): 173-177

Corresponding Author: Oğuz Baran, Türkiye
Manuscript Language: English
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