Long-Segment Versus Short-Segment Pedicle Screw Fixation Including Fractured Vertebrae for the Management of Unstable Thoracolumbar Burst Fractures

This study compares two surgical techniques for unstable thoracolumbar fractures: short-segment fixation with fracture level inclusion (SSFIFL) and long-segment pedicle fixation (LSPF). The study looks at radiological and clinical outcomes. Researchers analyzed 80 patients with partial spinal cord injuries, dividing them into two groups of 40, each undergoing one of the two surgical procedures. They measured outcomes using radiological and clinical parameters before and after surgery. The study found no significant differences in radiological indicators or neurological outcomes between the two groups. However, the SSFIFL group experienced less surgical time, blood loss, and implant cost.

• 1
  No significant differences were found in radiological outcomes (kyphotic angle, kyphotic deformation, Beck index) between SSFIFL and LSPF groups at the final follow-up.
• 2
  Neurological outcomes were similar in both groups, with no significant difference in ASIA grade improvement.
• 3
  SSFIFL had significantly less operative time, blood loss, and implant cost compared to LSPF.