Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study
Abstract Background Vertebroplasty with posterior spinal fusion (VP + PSF) is one of the most widely accepted surgical techniques for treating osteoporotic vertebral collapse (OVC). Nevertheless, the effect of the extent of fusion on surgical outcomes remains to be established. This study aimed to e...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-08-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03539-0 |
| _version_ | 1818943350529589248 |
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| author | Yuya Ishikawa Kei Watanabe Keiichi Katsumi Masayuki Ohashi Yohei Shibuya Tomohiro Izumi Toru Hirano Naoto Endo Takashi Kaito Tomoya Yamashita Hiroyasu Fujiwara Yukitaka Nagamoto Yuji Matsuoka Hidekazu Suzuki Hirosuke Nishimura Hidetomi Terai Koji Tamai Atsushi Tagami Shuta Yamada Shinji Adachi Toshitaka Yoshii Shuta Ushio Katsumi Harimaya Kenichi Kawaguchi Nobuhiko Yokoyama Hidekazu Oishi Toshiro Doi Atsushi Kimura Hirokazu Inoue Gen Inoue Masayuki Miyagi Wataru Saito Atsushi Nakano Daisuke Sakai Tadashi Nukaga Shota Ikegami Masayuki Shimizu Toshimasa Futatsugi Seiji Ohtori Takeo Furuya Sumihisa Orita Shiro Imagama Kei Ando Kazuyoshi Kobayashi Katsuhito Kiyasu Hideki Murakami Katsuhito Yoshioka Shoji Seki Michio Hongo Kenichiro Kakutani Takashi Yurube Yasuchika Aoki Masashi Oshima Masahiko Takahata Akira Iwata Hirooki Endo Tetsuya Abe Toshinori Tsukanishi Kazuyoshi Nakanishi Kota Watanabe Tomohiro Hikata Satoshi Suzuki Norihiro Isogai Eijiro Okada Haruki Funao Seiji Ueda Yuta Shiono Kenya Nojiri Naobumi Hosogane Ken Ishii |
| author_facet | Yuya Ishikawa Kei Watanabe Keiichi Katsumi Masayuki Ohashi Yohei Shibuya Tomohiro Izumi Toru Hirano Naoto Endo Takashi Kaito Tomoya Yamashita Hiroyasu Fujiwara Yukitaka Nagamoto Yuji Matsuoka Hidekazu Suzuki Hirosuke Nishimura Hidetomi Terai Koji Tamai Atsushi Tagami Shuta Yamada Shinji Adachi Toshitaka Yoshii Shuta Ushio Katsumi Harimaya Kenichi Kawaguchi Nobuhiko Yokoyama Hidekazu Oishi Toshiro Doi Atsushi Kimura Hirokazu Inoue Gen Inoue Masayuki Miyagi Wataru Saito Atsushi Nakano Daisuke Sakai Tadashi Nukaga Shota Ikegami Masayuki Shimizu Toshimasa Futatsugi Seiji Ohtori Takeo Furuya Sumihisa Orita Shiro Imagama Kei Ando Kazuyoshi Kobayashi Katsuhito Kiyasu Hideki Murakami Katsuhito Yoshioka Shoji Seki Michio Hongo Kenichiro Kakutani Takashi Yurube Yasuchika Aoki Masashi Oshima Masahiko Takahata Akira Iwata Hirooki Endo Tetsuya Abe Toshinori Tsukanishi Kazuyoshi Nakanishi Kota Watanabe Tomohiro Hikata Satoshi Suzuki Norihiro Isogai Eijiro Okada Haruki Funao Seiji Ueda Yuta Shiono Kenya Nojiri Naobumi Hosogane Ken Ishii |
| author_sort | Yuya Ishikawa |
| collection | DOAJ |
| description | Abstract Background Vertebroplasty with posterior spinal fusion (VP + PSF) is one of the most widely accepted surgical techniques for treating osteoporotic vertebral collapse (OVC). Nevertheless, the effect of the extent of fusion on surgical outcomes remains to be established. This study aimed to evaluate the surgical outcomes of short- versus long-segment VP + PSF for OVC with neurological impairment in thoracolumbar spine. Methods We retrospectively collected data from 133 patients (median age, 77 years; 42 men and 91 women) from 27 university hospitals and their affiliated hospitals. We divided patients into two groups: a short-segment fusion group (S group) with 2- or 3-segment fusion (87 patients) and a long-segment fusion group (L group) with 4- through 6-segment fusion (46 patients). Surgical invasion, clinical outcomes, local kyphosis angle (LKA), and complications were evaluated. Results No significant differences between the two groups were observed in terms of neurological recovery, pain scale scores, and complications. Surgical time was shorter and blood loss was less in the S group, whereas LKA at the final follow-up and correction loss were superior in the L group. Conclusion Although less invasiveness and validity of pain and neurological relief are secured by short-segment VP + PSF, surgeons should be cautious regarding correction loss. |
| first_indexed | 2024-12-20T07:25:56Z |
| format | Article |
| id | doaj.art-ca8627a28e324dcd93bbb09fa70c47b8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-20T07:25:56Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-ca8627a28e324dcd93bbb09fa70c47b82022-12-21T19:48:33ZengBMCBMC Musculoskeletal Disorders1471-24742020-08-012111810.1186/s12891-020-03539-0Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter studyYuya Ishikawa0Kei Watanabe1Keiichi Katsumi2Masayuki Ohashi3Yohei Shibuya4Tomohiro Izumi5Toru Hirano6Naoto Endo7Takashi Kaito8Tomoya Yamashita9Hiroyasu Fujiwara10Yukitaka Nagamoto11Yuji Matsuoka12Hidekazu Suzuki13Hirosuke Nishimura14Hidetomi Terai15Koji Tamai16Atsushi Tagami17Shuta Yamada18Shinji Adachi19Toshitaka Yoshii20Shuta Ushio21Katsumi Harimaya22Kenichi Kawaguchi23Nobuhiko Yokoyama24Hidekazu Oishi25Toshiro Doi26Atsushi Kimura27Hirokazu Inoue28Gen Inoue29Masayuki Miyagi30Wataru Saito31Atsushi Nakano32Daisuke Sakai33Tadashi Nukaga34Shota Ikegami35Masayuki Shimizu36Toshimasa Futatsugi37Seiji Ohtori38Takeo Furuya39Sumihisa Orita40Shiro Imagama41Kei Ando42Kazuyoshi Kobayashi43Katsuhito Kiyasu44Hideki Murakami45Katsuhito Yoshioka46Shoji Seki47Michio Hongo48Kenichiro Kakutani49Takashi Yurube50Yasuchika Aoki51Masashi Oshima52Masahiko Takahata53Akira Iwata54Hirooki Endo55Tetsuya Abe56Toshinori Tsukanishi57Kazuyoshi Nakanishi58Kota Watanabe59Tomohiro Hikata60Satoshi Suzuki61Norihiro Isogai62Eijiro Okada63Haruki Funao64Seiji Ueda65Yuta Shiono66Kenya Nojiri67Naobumi Hosogane68Ken Ishii69Department of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Niigata UniversityDepartment of Orthopaedic Surgery, Osaka UniversityDepartment of Orthopaedic Surgery, Osaka UniversityDepartment of Orthopaedic Surgery, Osaka UniversityDepartment of Orthopaedic Surgery, Osaka UniversityDepartment of Orthopaedic Surgery, Tokyo Medical UniversityDepartment of Orthopaedic Surgery, Tokyo Medical UniversityDepartment of Orthopaedic Surgery, Tokyo Medical UniversityDepartment of Orthopaedic Surgery, Osaka City UniversityDepartment of Orthopaedic Surgery, Osaka City UniversityDepartment of Orthopaedic Surgery, Nagasaki UniversityDepartment of Orthopaedic Surgery, Nagasaki UniversityDepartment of Orthopaedic Surgery, Nagasaki UniversityDepartment of Orthopaedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopaedic Surgery, Tokyo Medical and Dental UniversityDepartment of Orthopaedic Surgery, Kyushu UniversityDepartment of Orthopaedic Surgery, Kyushu UniversityDepartment of Orthopaedic Surgery, Kyushu UniversityDepartment of Orthopaedic Surgery, Kyushu UniversityDepartment of Orthopaedic Surgery, Kyushu UniversityDepartment of Orthopaedic Surgery, Jichi Medical UniversityDepartment of Orthopaedic Surgery, Jichi Medical UniversityDepartment of Orthopaedic Surgery, Kitasato UniversityDepartment of Orthopaedic Surgery, Kitasato UniversityDepartment of Orthopaedic Surgery, Kitasato UniversityDepartment of Orthopaedic Surgery, Osaka Medical CollegeDepartment of Orthopaedic Surgery, Tokai UniversityDepartment of Orthopaedic Surgery, Tokai UniversityDepartment of Orthopaedic Surgery, Shinshu UniversityDepartment of Orthopaedic Surgery, Shinshu UniversityDepartment of Orthopaedic Surgery, Shinshu UniversityDepartment of Orthopaedic Surgery, Chiba UniversityDepartment of Orthopaedic Surgery, Chiba UniversityDepartment of Orthopaedic Surgery, Chiba UniversityDepartment of Orthopaedic Surgery, Nagoya UniversityDepartment of Orthopaedic Surgery, Nagoya UniversityDepartment of Orthopaedic Surgery, Nagoya UniversityDepartment of Orthopaedic Surgery, Kochi UniversityDepartment of Orthopaedic Surgery, Nagoya City UniversityDepartment of Orthopaedic Surgery, Kanazawa UniversityDepartment of Orthopaedic Surgery, University of ToyamaDepartment of Orthopaedic Surgery, Akita UniversityDepartment of Orthopaedic Surgery, Kobe UniversityDepartment of Orthopaedic Surgery, Kobe UniversityDepartment of Orthopaedic Surgery, Eastern Chiba Medical CenterDepartment of Orthopaedic Surgery, Nihon University Itabashi HospitalDepartment of Orthopaedic Surgery, Hokkaido UniversityDepartment of Orthopaedic Surgery, Hokkaido UniversityDepartment of Orthopaedic Surgery, Iwate Medical UniversityDepartment of Orthopaedic Surgery, University of TsukubaDepartment of Orthopaedic Surgery, University of TsukubaDepartment of Orthopaedic Surgery, Hiroshima UniversityDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineDepartment of Orthopaedic Surgery, Keio University School of MedicineAbstract Background Vertebroplasty with posterior spinal fusion (VP + PSF) is one of the most widely accepted surgical techniques for treating osteoporotic vertebral collapse (OVC). Nevertheless, the effect of the extent of fusion on surgical outcomes remains to be established. This study aimed to evaluate the surgical outcomes of short- versus long-segment VP + PSF for OVC with neurological impairment in thoracolumbar spine. Methods We retrospectively collected data from 133 patients (median age, 77 years; 42 men and 91 women) from 27 university hospitals and their affiliated hospitals. We divided patients into two groups: a short-segment fusion group (S group) with 2- or 3-segment fusion (87 patients) and a long-segment fusion group (L group) with 4- through 6-segment fusion (46 patients). Surgical invasion, clinical outcomes, local kyphosis angle (LKA), and complications were evaluated. Results No significant differences between the two groups were observed in terms of neurological recovery, pain scale scores, and complications. Surgical time was shorter and blood loss was less in the S group, whereas LKA at the final follow-up and correction loss were superior in the L group. Conclusion Although less invasiveness and validity of pain and neurological relief are secured by short-segment VP + PSF, surgeons should be cautious regarding correction loss.http://link.springer.com/article/10.1186/s12891-020-03539-0Osteoporotic vertebral collapseVertebral fractureThoracolumbar spineVertebroplastyPosterior spinal fusionShort-segment |
| spellingShingle | Yuya Ishikawa Kei Watanabe Keiichi Katsumi Masayuki Ohashi Yohei Shibuya Tomohiro Izumi Toru Hirano Naoto Endo Takashi Kaito Tomoya Yamashita Hiroyasu Fujiwara Yukitaka Nagamoto Yuji Matsuoka Hidekazu Suzuki Hirosuke Nishimura Hidetomi Terai Koji Tamai Atsushi Tagami Shuta Yamada Shinji Adachi Toshitaka Yoshii Shuta Ushio Katsumi Harimaya Kenichi Kawaguchi Nobuhiko Yokoyama Hidekazu Oishi Toshiro Doi Atsushi Kimura Hirokazu Inoue Gen Inoue Masayuki Miyagi Wataru Saito Atsushi Nakano Daisuke Sakai Tadashi Nukaga Shota Ikegami Masayuki Shimizu Toshimasa Futatsugi Seiji Ohtori Takeo Furuya Sumihisa Orita Shiro Imagama Kei Ando Kazuyoshi Kobayashi Katsuhito Kiyasu Hideki Murakami Katsuhito Yoshioka Shoji Seki Michio Hongo Kenichiro Kakutani Takashi Yurube Yasuchika Aoki Masashi Oshima Masahiko Takahata Akira Iwata Hirooki Endo Tetsuya Abe Toshinori Tsukanishi Kazuyoshi Nakanishi Kota Watanabe Tomohiro Hikata Satoshi Suzuki Norihiro Isogai Eijiro Okada Haruki Funao Seiji Ueda Yuta Shiono Kenya Nojiri Naobumi Hosogane Ken Ishii Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study BMC Musculoskeletal Disorders Osteoporotic vertebral collapse Vertebral fracture Thoracolumbar spine Vertebroplasty Posterior spinal fusion Short-segment |
| title | Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study |
| title_full | Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study |
| title_fullStr | Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study |
| title_full_unstemmed | Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study |
| title_short | Short- versus long-segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine: a multicenter study |
| title_sort | short versus long segment posterior spinal fusion with vertebroplasty for osteoporotic vertebral collapse with neurological impairment in thoracolumbar spine a multicenter study |
| topic | Osteoporotic vertebral collapse Vertebral fracture Thoracolumbar spine Vertebroplasty Posterior spinal fusion Short-segment |
| url | http://link.springer.com/article/10.1186/s12891-020-03539-0 |
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