Short Segment vs Long Segment Fixation in Traumatic Dorsolumbar Spine Fractures

Ain Shams University

Status

Completed

Conditions

SPINAL Fracture

Treatments

Procedure: short segment posterior spine fixation

Procedure: long segment posterior spine fixation

Study type

Interventional

Funder types

Other

Identifiers

NCT03272243

G10800

Details and patient eligibility

About

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

Enrollment

91 patients

Sex

All

Volunteers

No Healthy Volunteers

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.