Although long-segment posterior spinal fixation might provide more rigid fixation, the procedure increases perioperative morbidities in the elderly. The present study reviews the results of short-segment decompression and reconstruction in thoracolumbar fragile fractures.
This study included 20 elderly patients with osteoporotic thoracolumbar burst fractures and neurological compromise. The participants were followed-up for a period of 40.6 (24-68) months. A visual analog scale (VAS) and the Oswestry Disability Index (ODI) were used to measure back pain and disability. Radiologic assessment and neurological status were also analyzed.
Study Type
OBSERVATIONAL
Enrollment
20
posterior short-segment decompression and reconstruction (instrumentation on 1 level above and 1 level below the fractured vertebrae with posterolateral fusion)
The Oswestry Disability Index (ODI)
Functional outcome after surgery was evaluated using the Oswestry Disability Index (ODI)
Time frame: at least 2 years
Frankel's grade system
Frankel's grade system was used for assessment of neurologic function
Time frame: at least 2 years
Local kyphosis and vertebral wedge angle were measured as radiologic assessment (units of measure: degree)
Digital radiographs of the vertebral bodies were reviewed using the picture archiving and communication system (PACS).
Time frame: at least 2 years
anterior vertebral height
Measurements of the anterior vertebral height (AVH) ratio (% of normal)
Time frame: at least 2 years
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