Short Segment vs Long Segment Fixation in Traumatic Dorsolumbar Spine Fractures

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

Clinical Phase

NA

Total Enrollment

91 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-01

Study Completion Date

2016-11-30

Brief Summary

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A prospective study included 91 patients, who had single level thoracolumbar fracture with Cobb's angle ≤ 25⁰, underwent posterior fixation. Forty four patients underwent short segment fixation with screws into the index level, and 47 patients underwent long segment fixation with skipped index level. The angle of correction, pain, and neurological state were regularly assessed

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Detailed Description

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Conditions

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SPINAL Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Short Segment posterior spine fixation

Short segment transpedicular screw fixation with inclusion of the index level

Group Type ACTIVE_COMPARATOR

short segment posterior spine fixation

Intervention Type PROCEDURE

Long Segment posterior spine fixation

Long segment transpedicular screw fixation with escape of the index level

Group Type ACTIVE_COMPARATOR

long segment posterior spine fixation

Intervention Type PROCEDURE

Interventions

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short segment posterior spine fixation

Intervention Type PROCEDURE

long segment posterior spine fixation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* wedge fracture or burst fracture with Thoraco-Lumbar Injury Classification and Severity (TLICS) score ≥ 4
* Single level fracture
* Less than 50% of spinal canal compromised
* Mild kyphosis or scoliosis
* Cobb's angle ≤ 25˚
* with or without neurological deficit

Exclusion Criteria

* patients with multiple level fractures
* patients with more than 50% spinal canal compromise
* patients who needed anterior approach to decompress the canal
* patients who have fracture dislocation and / or marked kyphosis and scoliosis with Cobb's angle \>25⁰
* patients who needed 360⁰ fixation with long segment fixation to maintain the angle of correction.

Eligible Sex

ALL

Accepts Healthy Volunteers

No