Short Segment Fixation for Thoracolumbar Burst Fracture Accompanying Osteopenia : A Comparative Study.
10.3340/jkns.2013.53.1.26
- Author:
Hyeun Sung KIM
1
;
Seok Won KIM
;
Chang Il JU
;
Sung Myung LEE
;
Ho SHIN
Author Information
1. Department of Neurosurgery, Heori Sarang Hospital, Daejeon, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Burst fracture;
Osteopenia;
Fusion
- MeSH:
Bone Diseases, Metabolic;
Congenital Abnormalities;
Densitometry;
Follow-Up Studies;
Humans
- From:Journal of Korean Neurosurgical Society
2013;53(1):26-30
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study was to compare the results of three types of short segment screw fixation for thoracolumbar burst fracture accompanying osteopenia. METHODS: The records of 70 patients who underwent short segment screw fixation for a thoracolumbar burst fracture accompanying osteopenia (-2.5< mean T score by bone mineral densitometry <-1.0) from January 2005 to January 2008 were reviewed. Patients were divided into three groups based on whether or not bone fusion and bone cement augmentation procedure 1) Group I (n=26) : short segment fixation with posterolateral bone fusion; 2) Group II (n=23) : bone cement augmented short segment fixation with posterolateral bone fusion; 3) Group III (n=21) : bone cement augmented, short segment percutaneous screw fixation without bone fusion. Clinical outcomes were assessed using a visual analogue scale and modified MacNab's criteria. Radiological findings, including kyphotic angle and vertebral height, and procedure-related complications, such as screw loosening or pull-out, were analyzed. RESULTS: No significant difference in radiographic or clinical outcomes was noted between patients managed using the three different techniques at last follow up. However, Group I showed more correction loss of kyphotic deformities and vertebral height loss at final follow-up, and Group I had higher screw loosening and implant failure rates than Group II or III. CONCLUSION: Bone cement augmented procedure can be an efficient and safe surgical techniques in terms of achieving better outcomes with minimal complications for thoracolumbar burst fracture accompanying osteopenia.
