Asset Details
Do you wish to reserve the book?
Analysis of the short-term effect of three different level pedicle screws in the treatment of thoracolumbar type A fractures
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Analysis of the short-term effect of three different level pedicle screws in the treatment of thoracolumbar type A fractures
Do you wish to request the book?
Analysis of the short-term effect of three different level pedicle screws in the treatment of thoracolumbar type A fractures
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Analysis of the short-term effect of three different level pedicle screws in the treatment of thoracolumbar type A fractures
2025
Overview
Objective
The effects of three short-segment vertebral fixation methods—short-segment fixation (4s group), short-segment fixation across the injured vertebra (6s group), and long-segment fixation (8s group)—on the surgical efficacy of patients with type A thoracolumbar fractures were compared to identify the optimal fixation method.
Methods
Data from 277 patients who underwent posterior pedicle screw fixation for thoracolumbar fractures between September 2018 and January 2023 were retrospectively analyzed. Surgery-related indicators, laboratory parameters, clinical functional measures (VAS and ODI), and postoperative imaging findings were compared among the three groups.
Results
Baseline data showed no significant differences among the three groups. The operation time in the 4s group (75.352 ± 15.458 min) and intraoperative blood loss (188.65 ± 42.728 ml) were significantly lower compared to the 8s group (operation time: 108.243 ± 19.529 min; intraoperative blood loss: 209.93 ± 50.542 ml), with statistically significant differences (
p
< 0.05). Postoperative hematocrit (33.277 ± 4.639) and albumin levels (34.971 ± 4.116) in the 6s group were significantly higher than those in the 8s group (hematocrit: 31.820 ± 4.323; albumin: 33.170 ± 3.553), with
p
< 0.05. Other outcome indicators did not show statistically significant differences (
p
> 0.05).
Conclusion
Short-segment fixation across the injured vertebra (6s) provides results comparable to short-segment fixation (4s) while causing less trauma. Furthermore, the 6s method demonstrates similar efficacy to long-segment fixation (8s) in maintaining long-term deformity correction. These findings offer valuable insights for clinicians in selecting surgical fixation methods, optimizing treatment strategies, and improving patient outcomes.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Aged
/ Albumin
/ Blood Loss, Surgical - statistics & numerical data
/ Female
/ Fracture Fixation, Internal - instrumentation
/ Fracture Fixation, Internal - methods
/ Humans
/ Internal fixation in fractures
/ Lumbar Vertebrae - diagnostic imaging
/ Male
/ Medicine
/ New Horizons in Smart Orthopaedic Implants: Advances and Applications
/ Patients
/ Posterior pedicle screw fixation
/ Spinal Fractures - diagnostic imaging
/ Spine
/ Surgeons
/ Thoracic Vertebrae - diagnostic imaging
/ Thoracic Vertebrae - injuries
/ Thoracic Vertebrae - surgery
/ Trauma
/ X-rays
