Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain
Abstract Background Thoracic and lumbar fractures represent nearly 90% of traumatic spine injuries. Thoracolumbar region is susceptible to injury because of its location between the stiff kyphotic thoracic spine and the mobile lordotic lumbar region. To compare between short-segment fixation with sc...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-07-01
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| Series: | Egyptian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41984-018-0012-9 |
| _version_ | 1828761690223673344 |
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| author | Ahmed M. Sallam Walid A. Abdel Ghany Ali Kotb Ali Mohamed A. Habib Ahmed F. Toubar Mohamed S. Kabil Ahmed Abdel Barr Salem Sherif H. Abouzeid Mourad Mohamed A. Nada |
| author_facet | Ahmed M. Sallam Walid A. Abdel Ghany Ali Kotb Ali Mohamed A. Habib Ahmed F. Toubar Mohamed S. Kabil Ahmed Abdel Barr Salem Sherif H. Abouzeid Mourad Mohamed A. Nada |
| author_sort | Ahmed M. Sallam |
| collection | DOAJ |
| description | Abstract Background Thoracic and lumbar fractures represent nearly 90% of traumatic spine injuries. Thoracolumbar region is susceptible to injury because of its location between the stiff kyphotic thoracic spine and the mobile lordotic lumbar region. To compare between short-segment fixation with screws into index level and long-segment fixation in maintaining angle of correction and pain. Methods A prospective study included 91 patients, who had single-level thoracolumbar fracture with Cobb’s angle ≤ 25° and 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. Results Forty-four patients (48.35%) had short segment and 47 (51.65%) had long-segment fixation. In the short segment group, the pre-operative mean Cobb’s angle was 19.34° ± 3.63° and the angle of correction was 8.14° ± 1.9° after 1 year, while in the long segment group, the pre-operative mean Cobb’s angle was 19.08° ± 4.0° and the angle of correction was 8.62° ± 2.59°. Regarding pain, in the short segment group, the pre-operative visual analogue scale (VAS) was 5.59 ± 2.09 that was reduced to 1.39 ± 0.58 at the 1 year follow-up, while the long segment group VAS was 5.4 ± 2.01 pre-operatively that was reduced to 1.47 ± 0.58. Conclusions Short-segment fixation can maintain the angle of correction as long-segment fixation for single level thoracolumbar traumatic fracture with lower complication and faster pain relief. Trial registration Clinicaltrials.gov/NCT03272243. Registered: 1 September 2017. |
| first_indexed | 2024-12-11T01:32:49Z |
| format | Article |
| id | doaj.art-b91365a70c5a4f5dbde304d4d891a23c |
| institution | Directory Open Access Journal |
| issn | 2520-8225 |
| language | English |
| last_indexed | 2024-12-11T01:32:49Z |
| publishDate | 2018-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj.art-b91365a70c5a4f5dbde304d4d891a23c2022-12-22T01:25:19ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252018-07-013311610.1186/s41984-018-0012-9Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and painAhmed M. Sallam0Walid A. Abdel Ghany1Ali Kotb Ali2Mohamed A. Habib3Ahmed F. Toubar4Mohamed S. Kabil5Ahmed Abdel Barr Salem6Sherif H. Abouzeid Mourad7Mohamed A. Nada8Department of Neurosurgery, Arab Contractors Medical Center (A.C.M.C)Department of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityDepartment of Neurosurgery, Ain Shams UniversityAbstract Background Thoracic and lumbar fractures represent nearly 90% of traumatic spine injuries. Thoracolumbar region is susceptible to injury because of its location between the stiff kyphotic thoracic spine and the mobile lordotic lumbar region. To compare between short-segment fixation with screws into index level and long-segment fixation in maintaining angle of correction and pain. Methods A prospective study included 91 patients, who had single-level thoracolumbar fracture with Cobb’s angle ≤ 25° and 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. Results Forty-four patients (48.35%) had short segment and 47 (51.65%) had long-segment fixation. In the short segment group, the pre-operative mean Cobb’s angle was 19.34° ± 3.63° and the angle of correction was 8.14° ± 1.9° after 1 year, while in the long segment group, the pre-operative mean Cobb’s angle was 19.08° ± 4.0° and the angle of correction was 8.62° ± 2.59°. Regarding pain, in the short segment group, the pre-operative visual analogue scale (VAS) was 5.59 ± 2.09 that was reduced to 1.39 ± 0.58 at the 1 year follow-up, while the long segment group VAS was 5.4 ± 2.01 pre-operatively that was reduced to 1.47 ± 0.58. Conclusions Short-segment fixation can maintain the angle of correction as long-segment fixation for single level thoracolumbar traumatic fracture with lower complication and faster pain relief. Trial registration Clinicaltrials.gov/NCT03272243. Registered: 1 September 2017.http://link.springer.com/article/10.1186/s41984-018-0012-9Thoracolumbar fractureShort-segment fixationLong-segment fixationIndex levelCobb’s angle |
| spellingShingle | Ahmed M. Sallam Walid A. Abdel Ghany Ali Kotb Ali Mohamed A. Habib Ahmed F. Toubar Mohamed S. Kabil Ahmed Abdel Barr Salem Sherif H. Abouzeid Mourad Mohamed A. Nada Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain Egyptian Journal of Neurosurgery Thoracolumbar fracture Short-segment fixation Long-segment fixation Index level Cobb’s angle |
| title | Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain |
| title_full | Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain |
| title_fullStr | Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain |
| title_full_unstemmed | Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain |
| title_short | Short-segment posterior fixation with index level screws versus long-segment posterior fixation for thoracolumbar spine fracture: angle of correction and pain |
| title_sort | short segment posterior fixation with index level screws versus long segment posterior fixation for thoracolumbar spine fracture angle of correction and pain |
| topic | Thoracolumbar fracture Short-segment fixation Long-segment fixation Index level Cobb’s angle |
| url | http://link.springer.com/article/10.1186/s41984-018-0012-9 |
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