The Radiological Outcome of Thoracolumbar Spine Fracture Fixation in Short Vs Long Segment | Pakistan Journal of Neurological Surgery 2022

Author(s)

Ehtisham Ahmed khan Afridi Department of Neurosurgery,Ayub Teaching Hospital, Abbottabad, Pakistan

Idrees Ahmed Department of Neurosurgery,Ayub Teaching Hospital, Abbottabad, Pakistan

Sidra Maqbool Pathology, Ayub Teaching Hospital,Abbottabad,Pakistan

Aqsa Shahzadi Department of Neurosurgery,Ayub Teaching Hospital, Abbottabad, Pakistan

Saadia Maqbool Department of Neurosurgery,Ayub Teaching Hospital, Abbottabad, Pakistan

Abstract

Objectives: The study determined the radiological outcomes of short-segment vs. long-segment fixation of thoracolumbar spine fractures. Materials and Methods: A total of 322 patients (18 - 60 years) with thoracolumbar spine fractures were included. Preoperative X-rays and CT scans were performed on all patients to determine the integrity and orientation of the pedicle. Cobb's approach was also used to estimate the kyphotic angle on x-rays. The posterior pedicle 65 screw fixation was used in all instances. Group A (N = 161) received long segment fixation at least two levels above and below the fractured vertebra, while Group B (N = 161) received short segment fixation with pedicle screws placed in the broken level as well as one level above and below the fractured level. Results: In Group A, the mean age was 38 years, and the mean length of fracture was 45 hours; in Group B, the mean age was 43 years, and the mean duration of fracture was 46.354 hours. A good radiological outcome was observed in 115 (71.4%) patients in group A as compared to 103 (64%) patients in group B. A radiological outcome (p-value: 0.049) of a duration greater than 8 hours was observed in both groups (A: 75.5%; B: 58.1%). Conclusion: Short segment fixation using a pedicle screw at the level of fracture provides comparable correction to long segment fixation.

Publication Details

Page(s) 471-478

DOI 10.36552/pjns.v26i3.778

Published Journal: Pakistan Journal of Neurological Surgery, Volume: 26, Issue: 3, Year: 2022

Keywords

Radiological outcome Thoracolumbar Fractures Short Segment Long Segment

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