The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study

Abstract Background Surgeons often encounter recurrent kyphosis of Cobb angle following thoracolumbar burst fracture surgery. Some factors affecting postoperative correction loss have been studied in previous studies, but few have examined the relationship between laminar fractures and postoperative...

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Main Authors: Hualin Li, Qi Chen, Jiasen Hu, Jiapei Yu, Jianwei Xiang, Kaiyu Li, Junjie Weng, Naifeng Tian
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06139-w
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author Hualin Li
Qi Chen
Jiasen Hu
Jiapei Yu
Jianwei Xiang
Kaiyu Li
Junjie Weng
Naifeng Tian
author_facet Hualin Li
Qi Chen
Jiasen Hu
Jiapei Yu
Jianwei Xiang
Kaiyu Li
Junjie Weng
Naifeng Tian
author_sort Hualin Li
collection DOAJ
description Abstract Background Surgeons often encounter recurrent kyphosis of Cobb angle following thoracolumbar burst fracture surgery. Some factors affecting postoperative correction loss have been studied in previous studies, but few have examined the relationship between laminar fractures and postoperative loss of correction. Methods The clinical data of 86 patients with thoracolumbar burst fracture who met the inclusion criteria and were admitted to our Department of Spine Surgery between 2013 and 2020 was retrospectively analyzed. To examine the association between laminar fracturs and postoperative correction loss, demographic and radiographic characteristics of the two groups were analyzed. Results The presence or absence of laminar fractures was statistically different between the two groups (P < 0.05). Binary logistic regression analysis showed that laminar fractures and preoperative Cobb were statistically significant in the two groups. There were statistically significant differences in the degree of injury of laminar fractures in the coronal plane between the two groups (P < 0.05). Conclusion This study investigated that the presence or absence of laminar fractures and preoperative Cobb contribute to loss of correction after thoracolumbar burst fracture surgery. There was a statistically significant difference between full-length and partial-length laminar fractures on the loss of postoperative correction of thoracolumbar burst fractures with laminar fractures.
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spelling doaj.art-1038249a4c1c4fa6ab97d59a95a3ac012023-01-22T12:02:15ZengBMCBMC Musculoskeletal Disorders1471-24742023-01-012411910.1186/s12891-023-06139-wThe association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective studyHualin Li0Qi Chen1Jiasen Hu2Jiapei Yu3Jianwei Xiang4Kaiyu Li5Junjie Weng6Naifeng Tian7The Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityThe Third People’s Hospttal Of QingdaoThe Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical UniversityAbstract Background Surgeons often encounter recurrent kyphosis of Cobb angle following thoracolumbar burst fracture surgery. Some factors affecting postoperative correction loss have been studied in previous studies, but few have examined the relationship between laminar fractures and postoperative loss of correction. Methods The clinical data of 86 patients with thoracolumbar burst fracture who met the inclusion criteria and were admitted to our Department of Spine Surgery between 2013 and 2020 was retrospectively analyzed. To examine the association between laminar fracturs and postoperative correction loss, demographic and radiographic characteristics of the two groups were analyzed. Results The presence or absence of laminar fractures was statistically different between the two groups (P < 0.05). Binary logistic regression analysis showed that laminar fractures and preoperative Cobb were statistically significant in the two groups. There were statistically significant differences in the degree of injury of laminar fractures in the coronal plane between the two groups (P < 0.05). Conclusion This study investigated that the presence or absence of laminar fractures and preoperative Cobb contribute to loss of correction after thoracolumbar burst fracture surgery. There was a statistically significant difference between full-length and partial-length laminar fractures on the loss of postoperative correction of thoracolumbar burst fractures with laminar fractures.https://doi.org/10.1186/s12891-023-06139-wBurst fractureLaminar fractureRecurrent kyphosisThoracolumbar fracture
spellingShingle Hualin Li
Qi Chen
Jiasen Hu
Jiapei Yu
Jianwei Xiang
Kaiyu Li
Junjie Weng
Naifeng Tian
The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study
BMC Musculoskeletal Disorders
Burst fracture
Laminar fracture
Recurrent kyphosis
Thoracolumbar fracture
title The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study
title_full The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study
title_fullStr The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study
title_full_unstemmed The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study
title_short The association between vertical laminar fracture and recurrent kyphosis after implant removal of Thoracolumbar burst fracture: a retrospective study
title_sort association between vertical laminar fracture and recurrent kyphosis after implant removal of thoracolumbar burst fracture a retrospective study
topic Burst fracture
Laminar fracture
Recurrent kyphosis
Thoracolumbar fracture
url https://doi.org/10.1186/s12891-023-06139-w
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