Clinical and radiological outcomes of standalone polymethylmethacrylate vertebroplasty versus posterior spinal fixation in the treatment of Patients with thoracolumbar burst fractures. Stable burst fracture of unspecified thoracic vertebra, initial encounter for closed fracture
Conditions
Interventions
Intervention 1: Intervention group: standalone polymethylmethacrylate vertebroplasty in the treatment of patients with thoracolumbar burst fractures. Intervention 2: Intervention group: posterior sp
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Traumatic fracture Age between 18 to 65 years Burst fracture (40-60% height reduction, 20-40% canal compromise, kyphotic angulation 20 to 40 degrees) Hemodynamic stability Fracture below T6 level Fracture in the last 2 weeks Intact neurological exam One or two level fractures
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spinal kyphosis. Timepoint: Preoperatively, early postoperatively and at 2 and 6 months after the surgery. Method of measurement: Measure the degree of spinal angulation.;Vertebral height. Timepoint: Preoperatively, early postoperatively and at 2 and 6 months after the surgery. Method of measurement: Measure the vertebral height.;Pain measurement. Timepoint: Two and six months after the operation. Method of measurement: The pain VAS (Visual Analogue Scale) is a unidimensional measure of pain intensity.;Low back pain disability measurement. Timepoint: Six months after the operation. Method of measurement: For measuring the ow back pain disability, the Oswestry Disability Index (ODI) is used. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain score according to VAS (Visual Analogue Scale). Timepoint: Two and six months after the operation. Method of measurement: The Visual Analogue Scale (VAS) consists of a straight line with the endpoints defining extreme limits such as "no pain at all" and "pain as bad as it could be". The patient is asked to mark his pain level on the line between the two endpoints. The distance between "no pain at all" and the mark then defines the subject’s pain.;Oswestry Disability Index (ODI). Timepoint: Six months after the operation. Method of measurement: The Oswestry Disability Index (ODI) is an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Majid Reza Farrokhi
Shiraz University of Medical Sciences
Outcome results
None listed