Short-segment fixation and transpedicular bone grafting for the treatment of thoracolumbar spine fracture

作者：Zhiwen Luo, Weijie Liao, Bo-Lin Sun, Jia-Bao Wu, Ning Zhang, Yu Zhang, Shan-Hu Huang, Zhili Liu, Zhihong Zhang, Jiaming Liu · 发表于：Frontiers in Surgery · 年份：2023 · DOI：10.3389/fsurg.2022.1039100 · 被引用次数：7 · 研究领域：Spinal Fractures and Fixation Techniques、Hip and Femur Fractures、Cervical and Thoracic Myelopathy

Purpose Thoracolumbar fracture is one of the most common fractures of spine. And short-segment posterior fixation including the fractured vertebra (SSPFI) is usually used for the surgical treatment of it. However, the outcomes of SSPFI for different types of thoracolumbar fractures are not clear, and whether it is necessary to perform transpedicular bone grafting is still controversial. This study was conducted to determine the clinical efficacy of SSPFI for the treatment of different types of single-level thoracolumbar fracture, and make clear what kind of fractures need transpedicular bone grafting during the surgery. Methods Patients with single-level thoracolumbar fracture undergoing SSPFI surgery between January 2013 and June 2020 were included in this study. The operative duration, intraoperative blood loss, anterior vertebral height ratio (AVHR) and anterior vertebral height compressive ratio (AVHC) of the fractured vertebra, local kyphotic Cobb angle (LKA), vertebral wedge angle (VWA) and correction loss during follow up period were recorded. Outcomes between unilateral and bilateral pedicle screw fixation for fractured vertebra, between SSPFI with and without transpedicular bone grafting (TBG), and among different compressive degrees of fractured vertebrae were compared, respectively. Results A total of 161 patients were included in this study. All the patients were followed up, and the mean follow-upped duration was 25.2 ± 3.1 months (6–52 months). At the final foll...