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Short Segment Fixation in Tho...

Short Segment Fixation in Thoracolumbar Osteoporotic Fracture

NCT ID: NCT02719340

Last Updated: 2016-03-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-11-30

Study Completion Date

2012-12-31

Brief Summary

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Although long-segment posterior spinal fixation might provide more rigid fixation, the procedure increases perioperative morbidities in the elderly. The present study reviews the results of short-segment decompression and reconstruction in thoracolumbar fragile fractures.

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Detailed Description

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This study included 20 elderly patients with osteoporotic thoracolumbar burst fractures and neurological compromise. The participants were followed-up for a period of 40.6 (24-68) months. A visual analog scale (VAS) and the Oswestry Disability Index (ODI) were used to measure back pain and disability. Radiologic assessment and neurological status were also analyzed.

Conditions

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Spinal Fractures

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Interventions

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short segment fixation

posterior short-segment decompression and reconstruction (instrumentation on 1 level above and 1 level below the fractured vertebrae with posterolateral fusion)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* osteoporotic burst fracture at a single level of the thoracolumbar region
* dual-energy X-ray absorptiometry and T-score value less than -2.5

Exclusion Criteria

* translational displacement at the fracture site (fracture-dislocation)
* loss of structural integrity within the posterior osteoligamentous complex (such as flexion-distraction ligament disruption)
* spondylolisthesis of the adjacent vertebrae
* malignancy
* chronic steroid administration
* previous spinal surgery
* prior vertebroplasty and infection

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers