A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial
Purpose The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures. Materials and methods Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into t...
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| Veröffentlicht in: | International orthopaedics 2016-06, Vol.40 (6), p.1233-1238 |
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| creator | Lyu, Jianhua Chen, Kai Tang, Zhaohui Chen, Yu Li, Ming Zhang, Qiulin |
| description | Purpose
The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures.
Materials and methods
Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into three groups of 30 each. Patients in group A, B, and C were treated with three-level percutaneous fixation, two-level percutaneous fixation, and three-level open fixation, respectively. Blood loss, duration of surgery, VAS scores, Cobb angles, and anterior height ratios of fractured vertebrae were collected for statistical analysis.
Results
The average follow-up was 17.7 months. Post-operative Cobb angles were significantly corrected and anterior height ratios of fractured vertebrae were well restored in all three groups (
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| doi_str_mv | 10.1007/s00264-016-3129-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1868314355</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1868314355</sourcerecordid><originalsourceid>FETCH-LOGICAL-c486t-c65ba38ca53438309120dfbc540b9a00ce2d08b379ebb6ac67ad3ba5f73fe12b3</originalsourceid><addsrcrecordid>eNqFkUFv3CAQhVHVqNlu-gNyiTjm4hSMwbi3VZQ2lSL1kpwR4CF1ZJvtgA_Ze_53sDbtMT0xGr73BuYRcs7ZFWes_ZoYq1VTMa4qweuuOnwgG96IupK8kx_JhomGV7Xq5Cn5nNITY7xVmn8ip6XHWt2qDXnZUR-nvcUhxZnGQPNvBKD9EAIgzJmmBR8Hb0e6x-ihXxASHeaCAc0INk8rtOqe90B3pR_R-jguk7NIQ6nzKvlGLUU793EaDtCXkXPGOI6lzDjY8YycBDsm-PJ2bsnD95v769vq7tePn9e7u8o3WuXKK-ms0N5K0QgtWMdr1gfnZcNcZxnzUPdMO9F24JyyXrW2F87K0IoAvHZiSy6PvuUzfxZI2UxD8jCOdoa4JMO10qJsUMr_o20nteK6vGRL-BH1GFNCCGaPw2Tx2XBm1qDMMShTgjJrUOZQNBdv9ouboP-n-JtMAeojkMrV_AhonuKCc9nOO66vNk-heA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1795861834</pqid></control><display><type>article</type><title>A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Lyu, Jianhua ; Chen, Kai ; Tang, Zhaohui ; Chen, Yu ; Li, Ming ; Zhang, Qiulin</creator><creatorcontrib>Lyu, Jianhua ; Chen, Kai ; Tang, Zhaohui ; Chen, Yu ; Li, Ming ; Zhang, Qiulin</creatorcontrib><description>Purpose
The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures.
Materials and methods
Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into three groups of 30 each. Patients in group A, B, and C were treated with three-level percutaneous fixation, two-level percutaneous fixation, and three-level open fixation, respectively. Blood loss, duration of surgery, VAS scores, Cobb angles, and anterior height ratios of fractured vertebrae were collected for statistical analysis.
Results
The average follow-up was 17.7 months. Post-operative Cobb angles were significantly corrected and anterior height ratios of fractured vertebrae were well restored in all three groups (
p
< 0.01). Back pain was efficiently relieved according to VAS score change (
p
< 0.01). There were significant differences in values of blood loss and post-operative VAS scores (at three months) between group A and group C (
p
< 0.01). No significant difference concerning post-operative anterior height ratios of fractured vertebrae, Cobb angles and correction losses was observed between group A and group B (
p
= 0.580, 0.840, 0.215, respectively).
Conclusion
Percutaneous fixation not only provides the same reduction effect as open fixation, but also has an advantage of causing less operation related trauma which is beneficial to post-operative rehabilitation. The efficacy of three-level percutaneous fixation and two-level percutaneous fixation in the treatment of type A thoracolumbar fractures is not significantly different.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-016-3129-z</identifier><identifier>PMID: 26907876</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Back Pain ; Bone Screws ; Female ; Follow-Up Studies ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - methods ; Humans ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures - adverse effects ; Minimally Invasive Surgical Procedures - methods ; Original Paper ; Orthopedics ; Postoperative Period ; Spinal Fractures - surgery ; Thoracic Vertebrae - surgery ; Treatment Outcome</subject><ispartof>International orthopaedics, 2016-06, Vol.40 (6), p.1233-1238</ispartof><rights>The Author(s) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-c65ba38ca53438309120dfbc540b9a00ce2d08b379ebb6ac67ad3ba5f73fe12b3</citedby><cites>FETCH-LOGICAL-c486t-c65ba38ca53438309120dfbc540b9a00ce2d08b379ebb6ac67ad3ba5f73fe12b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-016-3129-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-016-3129-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26907876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lyu, Jianhua</creatorcontrib><creatorcontrib>Chen, Kai</creatorcontrib><creatorcontrib>Tang, Zhaohui</creatorcontrib><creatorcontrib>Chen, Yu</creatorcontrib><creatorcontrib>Li, Ming</creatorcontrib><creatorcontrib>Zhang, Qiulin</creatorcontrib><title>A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures.
Materials and methods
Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into three groups of 30 each. Patients in group A, B, and C were treated with three-level percutaneous fixation, two-level percutaneous fixation, and three-level open fixation, respectively. Blood loss, duration of surgery, VAS scores, Cobb angles, and anterior height ratios of fractured vertebrae were collected for statistical analysis.
Results
The average follow-up was 17.7 months. Post-operative Cobb angles were significantly corrected and anterior height ratios of fractured vertebrae were well restored in all three groups (
p
< 0.01). Back pain was efficiently relieved according to VAS score change (
p
< 0.01). There were significant differences in values of blood loss and post-operative VAS scores (at three months) between group A and group C (
p
< 0.01). No significant difference concerning post-operative anterior height ratios of fractured vertebrae, Cobb angles and correction losses was observed between group A and group B (
p
= 0.580, 0.840, 0.215, respectively).
Conclusion
Percutaneous fixation not only provides the same reduction effect as open fixation, but also has an advantage of causing less operation related trauma which is beneficial to post-operative rehabilitation. The efficacy of three-level percutaneous fixation and two-level percutaneous fixation in the treatment of type A thoracolumbar fractures is not significantly different.</description><subject>Adult</subject><subject>Back Pain</subject><subject>Bone Screws</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Humans</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Postoperative Period</subject><subject>Spinal Fractures - surgery</subject><subject>Thoracic Vertebrae - surgery</subject><subject>Treatment Outcome</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNqFkUFv3CAQhVHVqNlu-gNyiTjm4hSMwbi3VZQ2lSL1kpwR4CF1ZJvtgA_Ze_53sDbtMT0xGr73BuYRcs7ZFWes_ZoYq1VTMa4qweuuOnwgG96IupK8kx_JhomGV7Xq5Cn5nNITY7xVmn8ip6XHWt2qDXnZUR-nvcUhxZnGQPNvBKD9EAIgzJmmBR8Hb0e6x-ihXxASHeaCAc0INk8rtOqe90B3pR_R-jguk7NIQ6nzKvlGLUU793EaDtCXkXPGOI6lzDjY8YycBDsm-PJ2bsnD95v769vq7tePn9e7u8o3WuXKK-ms0N5K0QgtWMdr1gfnZcNcZxnzUPdMO9F24JyyXrW2F87K0IoAvHZiSy6PvuUzfxZI2UxD8jCOdoa4JMO10qJsUMr_o20nteK6vGRL-BH1GFNCCGaPw2Tx2XBm1qDMMShTgjJrUOZQNBdv9ouboP-n-JtMAeojkMrV_AhonuKCc9nOO66vNk-heA</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Lyu, Jianhua</creator><creator>Chen, Kai</creator><creator>Tang, Zhaohui</creator><creator>Chen, Yu</creator><creator>Li, Ming</creator><creator>Zhang, Qiulin</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20160601</creationdate><title>A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial</title><author>Lyu, Jianhua ; Chen, Kai ; Tang, Zhaohui ; Chen, Yu ; Li, Ming ; Zhang, Qiulin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c486t-c65ba38ca53438309120dfbc540b9a00ce2d08b379ebb6ac67ad3ba5f73fe12b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Back Pain</topic><topic>Bone Screws</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Humans</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Postoperative Period</topic><topic>Spinal Fractures - surgery</topic><topic>Thoracic Vertebrae - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lyu, Jianhua</creatorcontrib><creatorcontrib>Chen, Kai</creatorcontrib><creatorcontrib>Tang, Zhaohui</creatorcontrib><creatorcontrib>Chen, Yu</creatorcontrib><creatorcontrib>Li, Ming</creatorcontrib><creatorcontrib>Zhang, Qiulin</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lyu, Jianhua</au><au>Chen, Kai</au><au>Tang, Zhaohui</au><au>Chen, Yu</au><au>Li, Ming</au><au>Zhang, Qiulin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>40</volume><issue>6</issue><spage>1233</spage><epage>1238</epage><pages>1233-1238</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
The aim of the study was to evaluate the efficacy of three different surgical procedures in the treatment of type A thoracolumbar fractures.
Materials and methods
Between September 2012 and January 2015, a total of 90 patients with type A thoracolumbar fractures were randomly assigned into three groups of 30 each. Patients in group A, B, and C were treated with three-level percutaneous fixation, two-level percutaneous fixation, and three-level open fixation, respectively. Blood loss, duration of surgery, VAS scores, Cobb angles, and anterior height ratios of fractured vertebrae were collected for statistical analysis.
Results
The average follow-up was 17.7 months. Post-operative Cobb angles were significantly corrected and anterior height ratios of fractured vertebrae were well restored in all three groups (
p
< 0.01). Back pain was efficiently relieved according to VAS score change (
p
< 0.01). There were significant differences in values of blood loss and post-operative VAS scores (at three months) between group A and group C (
p
< 0.01). No significant difference concerning post-operative anterior height ratios of fractured vertebrae, Cobb angles and correction losses was observed between group A and group B (
p
= 0.580, 0.840, 0.215, respectively).
Conclusion
Percutaneous fixation not only provides the same reduction effect as open fixation, but also has an advantage of causing less operation related trauma which is beneficial to post-operative rehabilitation. The efficacy of three-level percutaneous fixation and two-level percutaneous fixation in the treatment of type A thoracolumbar fractures is not significantly different.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26907876</pmid><doi>10.1007/s00264-016-3129-z</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Back Pain Bone Screws Female Follow-Up Studies Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Humans Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - methods Original Paper Orthopedics Postoperative Period Spinal Fractures - surgery Thoracic Vertebrae - surgery Treatment Outcome |
| title | A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial |
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