Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study

• DOI: 10.14444/8006
• Publication Date: 2021-02-18T17:50:36Z
• Authors: Samarth Mittal; Syed Ifthekar; Kaustubh Ahuja; Bhaskar Sarkar; Gobinder Singh; Arvind Rana; Pankaj Kandwal
• Keywords: Oswestry Disability Index; Pseudarthrosis; Single Center; Implant Failure

<h3>ABSTRACT</h3> <h3>Background:</h3> Long-segment posterior fixation has been used as a mainstay treatment of spine fracture-dislocations. Studies using short-segment in cases thoracolumbar fracture-dislocation are limited. We describe our experience 26 patients with treated by or long-segment spinal and fusion. <h3>Methods:</h3> This is single-center retrospective study (group 1, n = 12) instrumentation 2, 14). Clinical (visual analog scale [VAS], Oswestry Disability Index [ODI]), neurological (American Spinal Injury Association [ASIA] scale), radiological (kyphotic angle, translational percentage, displacement angle), surgical (blood loss, operative time) outcomes complications were recorded each method. The mean follow-up period was 8.64 months (6–20 months). <h3>Results:</h3> duration surgery 3.92 ± 0.67 hours group 1 3.21 0.54 blood loss 583.33 111.5 mL 478.6 ±112.2 groups respectively (<i>P</i> &lt; .05). There no radiologically visible pseudarthrosis, implant failure, screw breakage either at follow up statistically significant difference between the 2 regard to outcome &gt; Two 6 improved after least ASIA grade. VAS ODI both final up. <h3>Conclusions:</h3> Short-segment can be for treating patients, it results less decreased intraoperative time, saves fusion segments similar clinical fixation. <h3>Level Evidence:</h3> 3.