SPINAL Fracture
Conditions
Keywords
thoracolumbar fracture, short segment fixation, long segment fixation, index level
Brief summary
A prospective study included 91 patients, who had single level thoracolumbar fracture with Cobb's angle ≤ 25⁰, underwent posterior fixation. Forty four patients underwent short segment fixation with screws into the index level, and 47 patients underwent long segment fixation with skipped index level. The angle of correction, pain, and neurological state were regularly assessed
Interventions
PROCEDUREshort segment posterior spine fixation
PROCEDURElong segment posterior spine fixation
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* wedge fracture or burst fracture with Thoraco-Lumbar Injury Classification and Severity (TLICS) score ≥ 4 * Single level fracture * Less than 50% of spinal canal compromised * Mild kyphosis or scoliosis * Cobb's angle ≤ 25˚ * with or without neurological deficit
Exclusion criteria
* patients with multiple level fractures * patients with more than 50% spinal canal compromise * patients who needed anterior approach to decompress the canal * patients who have fracture dislocation and / or marked kyphosis and scoliosis with Cobb's angle \>25⁰ * patients who needed 360⁰ fixation with long segment fixation to maintain the angle of correction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain | 3rd, 6th, 9th, 12th months | Visual analogue scale assessment |
| Change in disability | 3rd, 6th, 9th, 12th months | assessment of Oswestry Disability Scale |
| Change in angle of correction | 3rd, 6th, 9th, 12th months | Measurement of Cobb's angle |
Outcome results
None listed