Nearly 90% of all spinal fractures occur in the thoracolumbar region, and burst fractures are composed of 15% of such injuries. But the treatment of thoracolumbar fractures remains controversial. Treatment varies from the conservative management to various types of surgery. Internal fixation with spinal fusion is a surgical treatment method that is generally accepted for patients with thoracolumbar fracture. In this department, the investigators treat thoracolumbar burst fracture with posterior fixation alone and combined with articular process fusion. To evaluate the result of the two kinds of treatment, the investigators design this clinical trial. So, the investigators compared the radiological and clinical outcomes between patients who underwent posterior fixation alone and supplemented with fusion following the onset of thoracolumbar burst fractures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Articular process fusion with bone graft was carried out after screw fixation
Use the Posterior approach to achieve the reduction and stabilization by pedicle screw and rod alone
Jinling Hospital
Nanjing, Jiangsu, China
RECRUITINGCobb angle
Cobb angle is a variable for kyphotic deformity assessment
Time frame: 3 days after surgery.
Cobb angle
Cobb angle is a variable for kyphotic deformity assessment
Time frame: 3 months after surgery
Cobb angle
Cobb angle is a variable for kyphotic deformity assessment
Time frame: 12 months after surgery
Cobb angle
Cobb angle is a variable for kyphotic deformity assessment
Time frame: 18 months after surgery
failure of internal fixation
Time frame: 3days after surgery
failure of internal fixation
Time frame: 3 months after surgery
failure of internal fixation
Time frame: 12 months after surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.