Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Analysis of Discs and Vertebral Body Height at Fractured and Adjacent Levels
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Radiologic outcomes
研究概览
简要总结
The surgical results of thoracolumbar and lumbar burst fracture have been reported to be comparable between patients with and without fusion in a midterm follow-up. There is, however, no report comparing the results of fusion and non-fusion with a long-term follow-up. Therefore, a long term comparative study is still needed to focus on the issues of functional and radiographic outcomes, especially preservation of the motion segment in the long run, to determine whether fusion should be a routine procedure for surgically treated burst fractures of the thoracolumbar and lumbar spines. Therefore, we report herein a long-term comparative study of fusion and non-fusion based on our previous work, with an average 134 months of follow-up.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 60 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •neurologically intact spine with a kyphotic angle more than 20o, decreased vertebral body height more than 50% or a canal compromise more than 50%;
- •incomplete neurological deficit with a canal compromise less than 50%;
- •complete neurological deficit;
- •multilevel spinal injury or multiple trauma.
排除标准
- •progression of the neurological deficit;
- •a canal compromise still more than 50% in those who showed no improvement of the neurological deficit.
结局指标
主要结局
Radiologic outcomes
时间窗: up to postoperative 161 months
* Injured vertebral body height * Kyphotic angle * Regional segmental motion
次要结局
- Functional outcomes(up to postoperative 161 months)
研究者
vghtpe user
Chief, Division of Spine Surgery, Dep. of Orthopedics and Traumatology
Taipei Veterans General Hospital, Taiwan