Comparison of the clinical and radiologic outcomes of two treatment methods in patients with thoracolumbar junction distraction fracture: Short- versus long-segment posterior stabilization

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dc.contributor.authorÇetin, Hakan
dc.contributor.authorBayram, Serkan
dc.contributor.authorAlemdar, Celil
dc.contributor.authorAtiç, Ramazan
dc.date.accessioned2024-04-24T16:24:08Z
dc.date.available2024-04-24T16:24:08Z
dc.date.issued2023
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travamatoloji Ana Bilim Dalıen_US
dc.description.abstractBackground We compare the radiologic and clinical results between the short-segment fixation and the long-segment fixation in the thoracolumbar junction distraction fractures.Methods We retrospectively reviewed the prospectively recorded data of patients who underwent posterior approach and pedicle fixation treatment for thoracolumbar distraction fracture (Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association AO/OTA 5-B) with a minimum of 2 years of follow-up. A total of 31 patients were operated on; they were divided into two groups: (1) patients treated with short-level fixation (SLF; one level above and below the fracture level) and (2) patients treated with long-level fixation (LLF; two levels above and below the fracture level). The clinical outcomes were evaluated with the neurologic status, operation time, and time to surgery. The functional outcomes were evaluated with the Oswestry Disability Index (ODI) questionnaire and visual analog scale (VAS) at the final follow-up. Radiologic outcomes were measured with the local kyphosis angle, anterior body height, posterior body height, and sagittal index of the fractured vertebra.Results SLF was performed in 15 patients and LLF was performed in 16 patients. The average follow-up period was 30.13 +/- 11.3 months for the SLF group and 35.3 +/- 17.2 months for group 2 ( p = 0.329). The two groups were similar in regard to age, gender, follow-up period, fracture level, fracture type, and pre- and postoperative neurologic status. The operating time was significantly shorter in the SLF group than in the LLF group. There were no significant differences between the groups in all radiologic parameters, ODI score, and VAS.Conclusion SLF was associated with a shorter operation time and allowed the preservation of two or more segments of vertebral motion.en_US
dc.identifier.citationÇetin, H., Bayram, S., Alemdar, C. ve Atiç, R. (2024). Comparison of the clinical and radiologic outcomes of two treatment methods in patients with thoracolumbar junction distraction fracture: Short- versus long-segment posterior stabilization. Journal of Neurological Surgery, Part A: Central European Neurosurgery, 85(4), 371-377.
dc.identifier.doi10.1055/a-2053-3354
dc.identifier.issn2193-6315
dc.identifier.issn2193-6323
dc.identifier.pmid36914158
dc.identifier.scopus2-s2.0-85161105340
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1055/a-2053-3354
dc.identifier.urihttps://hdl.handle.net/11468/16524
dc.identifier.wosWOS:001076467300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherThieme Medical Publ Incen_US
dc.relation.ispartofJournal of Neurological Surgery Part A-Central European Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThoracolumbar junction distraction fractureen_US
dc.subjectShort-level fixationen_US
dc.subjectLong-level fixationen_US
dc.subjectLocal kyphosis angleen_US
dc.titleComparison of the clinical and radiologic outcomes of two treatment methods in patients with thoracolumbar junction distraction fracture: Short- versus long-segment posterior stabilizationen_US
dc.titleComparison of the clinical and radiologic outcomes of two treatment methods in patients with thoracolumbar junction distraction fracture: Short- versus long-segment posterior stabilization
dc.typeArticleen_US

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