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

Author(s):

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

2. Idrees Ahmed: Department of Neurosurgery,Ayub Teaching Hospital, Abbottabad, Pakistan

3. Sidra Maqbool: Pathology, Ayub Teaching Hospital,Abbottabad,Pakistan

4. Aqsa Shahzadi: Department of Neurosurgery,Ayub Teaching Hospital, Abbottabad, Pakistan

5. 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.

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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