Short segment pedicle screw instrumentation with an index level screw and cantilevered hyperlordotic reduction in the treatment of type-A fractures of the thoracolumbar spine

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dc.contributor.authorKöse, Kamil Çağrı
dc.contributor.authorİnanmaz, Mustafa Erkan
dc.contributor.authorIşık, Cengiz
dc.contributor.authorBaşar, Hakan
dc.contributor.authorÇalışkan, İslam
dc.date.accessioned2021-06-23T19:36:09Z
dc.date.available2021-06-23T19:36:09Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractThe purpose of this study was to evaluate and compare the effect of short segment pedicle screw instrumentation and an intermediate screw (SSPI+IS) on the radiological outcome of type A thoracolumbar fractures, as judged by the load-sharing classification, percentage canal area reduction and remodelling. We retrospectively evaluated 39 patients who had undergone hyperlordotic SSPI+IS for an AO-Magerl Type-A thoracolumbar fracture. Their mean age was 35.1 (16 to 60) and the mean follow-up was 22.9 months (12 to 36). There were 26 men and 13 women in the study group. In total, 18 patients had a load-sharing classification score of seven and 21 a score of six. All radiographs and CT scans were evaluated for sagittal index, anterior body height compression (%ABC), spinal canal area and encroachment. There were no significant differences between the low and high score groups with respect to age, duration of follow-up, pre-operative sagittal index or pre-operative anterior body height compression (p = 0.217, 0.104, 0.104, and 0.109 respectively). The mean pre-operative sagittal index was 19.6 degrees (12 degrees to 28 degrees) which was corrected to -1.8 degrees (-5 degrees to 3 degrees) post-operatively and 2.4 degrees (0 degrees to 8 degrees) at final follow-up (p = 0.835 for sagittal deformity). No patient needed revision for loss of correction or failure of instrumentation. Hyperlordotic reduction and short segment pedicle screw instrumentation and an intermediate screw is a safe and effective method of treating burst fractures of the thoracolumbar spine. It gives excellent radiological results with a very low rate of failure regardless of whether the fractures have a high or low load-sharing classification score.en_US
dc.identifier.doi10.1302/0301-620X.96B4.33249
dc.identifier.endpage547en_US
dc.identifier.issn2049-4394
dc.identifier.issue4en_US
dc.identifier.pmid24692625en_US
dc.identifier.scopus2-s2.0-84898432961en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage541en_US
dc.identifier.urihttps://doi.org/10.1302/0301-620X.96B4.33249
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7939
dc.identifier.volume96Ben_US
dc.identifier.wosWOS:000333671100020en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorIşık, Cengiz
dc.language.isoenen_US
dc.publisherBritish Editorial Soc Bone Joint Surgeryen_US
dc.relation.ispartofBone & Joint Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleShort segment pedicle screw instrumentation with an index level screw and cantilevered hyperlordotic reduction in the treatment of type-A fractures of the thoracolumbar spineen_US
dc.typeArticleen_US

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