1.Long versus Short Segment Instrumentation in Osteoporotic Thoracolumbar Vertebral Fracture
Massimo GIRARDO ; Alessandro MASSÈ ; Salvatore RISITANO ; Federico FUSINI
Asian Spine Journal 2021;15(4):424-430
Retrospective comparative study. This study aimed to compare clinical and radiological data and rate of mechanical complications in elderly patients treated with short segment (SSS) or long segment stabilization (LSS) for thoracolumbar junction osteoporotic vertebral fractures (OVFs). A fervent debate is now focused on the treatment of OVF using SSS or LSS. High rate of complications is associated with pedicle screw fixation because of poor bone quality. A total of 37 patients met the inclusion criteria. Mean follow-up was 33.97±9.26 months. For both groups, ODI and VAS significantly decreased over time with good results ( Both treatments showed good clinical and radiological results; however, LSS group showed better BKA correction and lower mechanical complications than SSS group.
2.Long versus Short Segment Instrumentation in Osteoporotic Thoracolumbar Vertebral Fracture
Massimo GIRARDO ; Alessandro MASSÈ ; Salvatore RISITANO ; Federico FUSINI
Asian Spine Journal 2021;15(4):424-430
Retrospective comparative study. This study aimed to compare clinical and radiological data and rate of mechanical complications in elderly patients treated with short segment (SSS) or long segment stabilization (LSS) for thoracolumbar junction osteoporotic vertebral fractures (OVFs). A fervent debate is now focused on the treatment of OVF using SSS or LSS. High rate of complications is associated with pedicle screw fixation because of poor bone quality. A total of 37 patients met the inclusion criteria. Mean follow-up was 33.97±9.26 months. For both groups, ODI and VAS significantly decreased over time with good results ( Both treatments showed good clinical and radiological results; however, LSS group showed better BKA correction and lower mechanical complications than SSS group.