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Corresponding Author

Massoud Mahmoud Mostafa

Document Type

Original Article

Abstract

Background: It is still debatable which stabilizing techniques should be used to treat thoracolumbar burst fractures. Aim of study: to evaluate the results of thoracolumbar burst fracture therapy using long segment and short segment posterior fixation. Patients and Methods: Between August 2019 and February 2022, 60 patients who met the inclusion criteria received posterior pedicle screw fixation for burst thoracolumbar spine fractures at the Neurosurgery Department of Al-Azhar University Hospitals and El-Ahrar General Hospital, Zagazig. One of two groups was randomly assigned to the patients. One level above and one level below the broken vertebra, or short segment fixation, was used to treat the short segment group of 30 patients. Results: Both groups' demographic information was quite similar. The median operation time in short segment group (187.25±20.25 min) was substantially shorter than long segment fixation group (212.22±30.51 min). Blood loss was substantially less in short segment group (567±87.8 ml) than long segment fixation group (870.3±107.8 ml). Follow up cobb's angle (12 week after surgery) was substantially lower in long segment fixation group than short segment fixation group (7.7±2.03 vs 9.03±1.67, p=0.007), Absolute decrease of angle of kyphosis in long segment fixation group was substantially greater in long segment fixation group than short segment group (16.55±4.80 vs 13.22±2.35, p=0.001). Conclusion: For the treatment of thoracolumbar burst fractures, short-segment fixation is just as successful as long-segment pedicle screw fixation. It retains mobility segments, lowers surgical expenses, and seems to provide a superior clinical outcome.

Keywords

Long-Segment Pedicle Screw Fixation; Short-Segment Pedicle Screw Fixation; Thoracolumbar Burst Fracture

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