Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes

Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Analysis of Discs and Vertebral Body Height at Fractured and Adjacent Levels

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01979198

Enrollment

Registered

2013-11-08

Start date

2012-12-31

Completion date

2013-03-31

Last updated

2013-11-08

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

Conditions

Burst Fracture

Keywords

burst fracture, kyphotic angle, surgical outcome

Brief summary

The surgical results of thoracolumbar and lumbar burst fracture have been reported to be comparable between patients with and without fusion in a midterm follow-up. There is, however, no report comparing the results of fusion and non-fusion with a long-term follow-up. Therefore, a long term comparative study is still needed to focus on the issues of functional and radiographic outcomes, especially preservation of the motion segment in the long run, to determine whether fusion should be a routine procedure for surgically treated burst fractures of the thoracolumbar and lumbar spines. Therefore, we report herein a long-term comparative study of fusion and non-fusion based on our previous work, with an average 134 months of follow-up.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

No minimum to 60 Years

Healthy volunteers

Inclusion criteria

* neurologically intact spine with a kyphotic angle more than 20o, decreased vertebral body height more than 50% or a canal compromise more than 50%; * incomplete neurological deficit with a canal compromise less than 50%; * complete neurological deficit; * multilevel spinal injury or multiple trauma.

Exclusion criteria

* progression of the neurological deficit; * a canal compromise still more than 50% in those who showed no improvement of the neurological deficit.

Design outcomes

Primary

Measure	Time frame	Description
Radiologic outcomes	postoperative 6 weeks	* Injured vertebral body height * Kyphotic angle * Regional segmental motion

Secondary

Measure	Time frame	Description
Functional outcomes	postoperative 24 months	* Greenough Low Back Outcome Scale * Visual Analogue Scale (VAS) for back pain * Neurologic status: Frankel grading system

Countries

Taiwan

Outcome results