Comparison of Posterior Fixation Alone and Combined With Articular Process Fusion in Thoracolumbar Burst Fractures

Posterior Fixation Alone Versus Posterior Fixation Combined With Articular Process Fusion in Thoracolumbar Burst Fractures

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01864785

Enrollment

Registered

2013-05-30

Start date

2013-02-28

Completion date

2015-02-28

Last updated

2013-06-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thoracolumbar Burst Fracture

Keywords

Operative treatment, internal fixation, posterior spinal fusion

Brief summary

Nearly 90% of all spinal fractures occur in the thoracolumbar region, and burst fractures are composed of 15% of such injuries. But the treatment of thoracolumbar fractures remains controversial. Treatment varies from the conservative management to various types of surgery. Internal fixation with spinal fusion is a surgical treatment method that is generally accepted for patients with thoracolumbar fracture. In this department, the investigators treat thoracolumbar burst fracture with posterior fixation alone and combined with articular process fusion. To evaluate the result of the two kinds of treatment, the investigators design this clinical trial. So, the investigators compared the radiological and clinical outcomes between patients who underwent posterior fixation alone and supplemented with fusion following the onset of thoracolumbar burst fractures.

Interventions

PROCEDUREFixation Combined With Fusion

Articular process fusion with bone graft was carried out after screw fixation

PROCEDUREFixation Alone

Use the Posterior approach to achieve the reduction and stabilization by pedicle screw and rod alone

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 70 Years

Healthy volunteers

Inclusion criteria

* Clinical diagnosis of thoracolumbar burst fracture

Exclusion criteria

* smoking during the period of the trial * conservative treatment could be attempted * do not meet the requirements of follow-up

Design outcomes

Primary

Measure	Time frame	Description
Cobb angle	3 days after surgery.	Cobb angle is a variable for kyphotic deformity assessment

Secondary

Measure	Time frame
failure of internal fixation	3days after surgery

Countries

China

Contacts

Primary Contactxu bin, Master

13815863157

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026