Outcomes in Thoracolumbar and Lumbar Traumatic Fractures: Does Restoration of Unfused Segmental Mobility Correlated to Implant Removal Time?
Posterior fixation without fusion can treat thoracolumbar and lumbar traumatic fractures effectively in certain cases. However, whether patients benefit from implant removal and the correlation between the range of motion (ROM) of the involved segments and the removal time have not been determined....
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| Veröffentlicht in: | World neurosurgery 2022-01, Vol.157, p.e254-e263 |
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| creator | Wu, Jian Zhu, Jun Wang, Zhong Jin, Huaijian Wang, Yingbo Liu, Baiyi Yin, Xiang Du, Longbin Wang, Yu Liu, Mingyong Liu, Peng |
| description | Posterior fixation without fusion can treat thoracolumbar and lumbar traumatic fractures effectively in certain cases. However, whether patients benefit from implant removal and the correlation between the range of motion (ROM) of the involved segments and the removal time have not been determined.
From 2018 to 2020, we retrospectively reviewed data of patients with AO spine type A or B thoracolumbar or lumbar traumatic fractures who underwent implant removal. A total of 17 patients (group A), 21 patients (group B), and 12 patients (group C) underwent implant removal after the index surgery within 12 months, between 12 and 24 months, and over 24 months, respectively. Clinical and radiological outcomes, including visual analog scale for back pain, patient satisfaction, Oswestry disability index, and EuroQol 5 dimensions questionnaire, for quality of life and segmental ROM were analyzed.
The average follow-up time was 9.1 ± 5.7 months after implant removal. There were no significant differences in visual analog scale and patient satisfaction among the 3 groups at the same observation time point. Among the 3 groups, patients in group A gained the lowest Oswestry disability index and highest EuroQol 5 dimensions questionnaire scores after removal and at the final follow-up. The best ROM was obtained in group A followed by groups B and C (11.5° ± 6.2°, 5.5° ± 1.6°, and 2.4° ± 0.6°, respectively).
Immobilization of the involved segments over 24 months may lead to loss of ROM. Regained segmental ROM is correlated negatively with implant removal time, and removal within 12 months promises a better ROM and quality of life. |
| doi_str_mv | 10.1016/j.wneu.2021.09.138 |
| format | Article |
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From 2018 to 2020, we retrospectively reviewed data of patients with AO spine type A or B thoracolumbar or lumbar traumatic fractures who underwent implant removal. A total of 17 patients (group A), 21 patients (group B), and 12 patients (group C) underwent implant removal after the index surgery within 12 months, between 12 and 24 months, and over 24 months, respectively. Clinical and radiological outcomes, including visual analog scale for back pain, patient satisfaction, Oswestry disability index, and EuroQol 5 dimensions questionnaire, for quality of life and segmental ROM were analyzed.
The average follow-up time was 9.1 ± 5.7 months after implant removal. There were no significant differences in visual analog scale and patient satisfaction among the 3 groups at the same observation time point. Among the 3 groups, patients in group A gained the lowest Oswestry disability index and highest EuroQol 5 dimensions questionnaire scores after removal and at the final follow-up. The best ROM was obtained in group A followed by groups B and C (11.5° ± 6.2°, 5.5° ± 1.6°, and 2.4° ± 0.6°, respectively).
Immobilization of the involved segments over 24 months may lead to loss of ROM. Regained segmental ROM is correlated negatively with implant removal time, and removal within 12 months promises a better ROM and quality of life.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2021.09.138</identifier><identifier>PMID: 34628035</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Device removal ; Device Removal - trends ; Female ; Follow-Up Studies ; Fracture fixation ; Fracture Fixation, Internal - trends ; Humans ; Lumbar vertebra ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - injuries ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Patient Satisfaction ; Quality of life ; Range of motion ; Retrospective Studies ; Spinal Fractures - diagnostic imaging ; Spinal Fractures - surgery ; Thoracic Vertebrae - diagnostic imaging ; Thoracic Vertebrae - injuries ; Thoracic Vertebrae - surgery ; Thoracolumbar vertebra ; Time Factors ; Treatment Outcome</subject><ispartof>World neurosurgery, 2022-01, Vol.157, p.e254-e263</ispartof><rights>2021 The Authors</rights><rights>Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-a021477cb458210122a625f2ae17fdd82635217316911c7358d8e2b493ea6f7c3</citedby><cites>FETCH-LOGICAL-c356t-a021477cb458210122a625f2ae17fdd82635217316911c7358d8e2b493ea6f7c3</cites><orcidid>0000-0002-6678-2266</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2021.09.138$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34628035$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Zhu, Jun</creatorcontrib><creatorcontrib>Wang, Zhong</creatorcontrib><creatorcontrib>Jin, Huaijian</creatorcontrib><creatorcontrib>Wang, Yingbo</creatorcontrib><creatorcontrib>Liu, Baiyi</creatorcontrib><creatorcontrib>Yin, Xiang</creatorcontrib><creatorcontrib>Du, Longbin</creatorcontrib><creatorcontrib>Wang, Yu</creatorcontrib><creatorcontrib>Liu, Mingyong</creatorcontrib><creatorcontrib>Liu, Peng</creatorcontrib><title>Outcomes in Thoracolumbar and Lumbar Traumatic Fractures: Does Restoration of Unfused Segmental Mobility Correlated to Implant Removal Time?</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Posterior fixation without fusion can treat thoracolumbar and lumbar traumatic fractures effectively in certain cases. However, whether patients benefit from implant removal and the correlation between the range of motion (ROM) of the involved segments and the removal time have not been determined.
From 2018 to 2020, we retrospectively reviewed data of patients with AO spine type A or B thoracolumbar or lumbar traumatic fractures who underwent implant removal. A total of 17 patients (group A), 21 patients (group B), and 12 patients (group C) underwent implant removal after the index surgery within 12 months, between 12 and 24 months, and over 24 months, respectively. Clinical and radiological outcomes, including visual analog scale for back pain, patient satisfaction, Oswestry disability index, and EuroQol 5 dimensions questionnaire, for quality of life and segmental ROM were analyzed.
The average follow-up time was 9.1 ± 5.7 months after implant removal. There were no significant differences in visual analog scale and patient satisfaction among the 3 groups at the same observation time point. Among the 3 groups, patients in group A gained the lowest Oswestry disability index and highest EuroQol 5 dimensions questionnaire scores after removal and at the final follow-up. The best ROM was obtained in group A followed by groups B and C (11.5° ± 6.2°, 5.5° ± 1.6°, and 2.4° ± 0.6°, respectively).
Immobilization of the involved segments over 24 months may lead to loss of ROM. Regained segmental ROM is correlated negatively with implant removal time, and removal within 12 months promises a better ROM and quality of life.</description><subject>Adult</subject><subject>Device removal</subject><subject>Device Removal - trends</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture fixation</subject><subject>Fracture Fixation, Internal - trends</subject><subject>Humans</subject><subject>Lumbar vertebra</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Quality of life</subject><subject>Range of motion</subject><subject>Retrospective Studies</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Spinal Fractures - surgery</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>Thoracic Vertebrae - injuries</subject><subject>Thoracic Vertebrae - surgery</subject><subject>Thoracolumbar vertebra</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1rFDEYhYMottT-AS8kl97smI-ZJCOCyGq1sKVQt9chk3lHs0wmaz4q_Q_90c2ytZfmJi_kOYec9yD0lpKGEio-7Jq_C5SGEUYb0jeUqxfolCqpVkqK_uXz3JETdJ7SjtTDaaskf41OeCuYIrw7RQ_XJdvgIWG34O3vEI0Nc_GDidgsI94cx200xZvsLL6oQC4R0kf8NVTVDaRcRdmFBYcJ3y5TSTDin_DLw5LNjK_C4GaX7_E6xAizyfU1B3zp97NZctX7cFexrfPw-Q16NZk5wfnTfYZuL75t1z9Wm-vvl-svm5XlncgrUzO3Utqh7RSry2DMCNZNzACV0zgqJnjHqORU9JRayTs1KmBD23MwYpKWn6H3R999DH9KTaC9Sxbm-iMIJWnWKdK3VFBRUXZEbQwpRZj0Pjpv4r2mRB-K0Dt9KEIfitCk17WIKnr35F8GD-Oz5N_aK_DpCEBNeecg6mQdLBZGF8FmPQb3P_9H7qmarg</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Wu, Jian</creator><creator>Zhu, Jun</creator><creator>Wang, Zhong</creator><creator>Jin, Huaijian</creator><creator>Wang, Yingbo</creator><creator>Liu, Baiyi</creator><creator>Yin, Xiang</creator><creator>Du, Longbin</creator><creator>Wang, Yu</creator><creator>Liu, Mingyong</creator><creator>Liu, Peng</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</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><orcidid>https://orcid.org/0000-0002-6678-2266</orcidid></search><sort><creationdate>202201</creationdate><title>Outcomes in Thoracolumbar and Lumbar Traumatic Fractures: Does Restoration of Unfused Segmental Mobility Correlated to Implant Removal Time?</title><author>Wu, Jian ; Zhu, Jun ; Wang, Zhong ; Jin, Huaijian ; Wang, Yingbo ; Liu, Baiyi ; Yin, Xiang ; Du, Longbin ; Wang, Yu ; Liu, Mingyong ; Liu, Peng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-a021477cb458210122a625f2ae17fdd82635217316911c7358d8e2b493ea6f7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Device removal</topic><topic>Device Removal - trends</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture fixation</topic><topic>Fracture Fixation, Internal - trends</topic><topic>Humans</topic><topic>Lumbar vertebra</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - injuries</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Quality of life</topic><topic>Range of motion</topic><topic>Retrospective Studies</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - surgery</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>Thoracic Vertebrae - injuries</topic><topic>Thoracic Vertebrae - surgery</topic><topic>Thoracolumbar vertebra</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Zhu, Jun</creatorcontrib><creatorcontrib>Wang, Zhong</creatorcontrib><creatorcontrib>Jin, Huaijian</creatorcontrib><creatorcontrib>Wang, Yingbo</creatorcontrib><creatorcontrib>Liu, Baiyi</creatorcontrib><creatorcontrib>Yin, Xiang</creatorcontrib><creatorcontrib>Du, Longbin</creatorcontrib><creatorcontrib>Wang, Yu</creatorcontrib><creatorcontrib>Liu, Mingyong</creatorcontrib><creatorcontrib>Liu, Peng</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</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><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Jian</au><au>Zhu, Jun</au><au>Wang, Zhong</au><au>Jin, Huaijian</au><au>Wang, Yingbo</au><au>Liu, Baiyi</au><au>Yin, Xiang</au><au>Du, Longbin</au><au>Wang, Yu</au><au>Liu, Mingyong</au><au>Liu, Peng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes in Thoracolumbar and Lumbar Traumatic Fractures: Does Restoration of Unfused Segmental Mobility Correlated to Implant Removal Time?</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2022-01</date><risdate>2022</risdate><volume>157</volume><spage>e254</spage><epage>e263</epage><pages>e254-e263</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Posterior fixation without fusion can treat thoracolumbar and lumbar traumatic fractures effectively in certain cases. However, whether patients benefit from implant removal and the correlation between the range of motion (ROM) of the involved segments and the removal time have not been determined.
From 2018 to 2020, we retrospectively reviewed data of patients with AO spine type A or B thoracolumbar or lumbar traumatic fractures who underwent implant removal. A total of 17 patients (group A), 21 patients (group B), and 12 patients (group C) underwent implant removal after the index surgery within 12 months, between 12 and 24 months, and over 24 months, respectively. Clinical and radiological outcomes, including visual analog scale for back pain, patient satisfaction, Oswestry disability index, and EuroQol 5 dimensions questionnaire, for quality of life and segmental ROM were analyzed.
The average follow-up time was 9.1 ± 5.7 months after implant removal. There were no significant differences in visual analog scale and patient satisfaction among the 3 groups at the same observation time point. Among the 3 groups, patients in group A gained the lowest Oswestry disability index and highest EuroQol 5 dimensions questionnaire scores after removal and at the final follow-up. The best ROM was obtained in group A followed by groups B and C (11.5° ± 6.2°, 5.5° ± 1.6°, and 2.4° ± 0.6°, respectively).
Immobilization of the involved segments over 24 months may lead to loss of ROM. Regained segmental ROM is correlated negatively with implant removal time, and removal within 12 months promises a better ROM and quality of life.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34628035</pmid><doi>10.1016/j.wneu.2021.09.138</doi><orcidid>https://orcid.org/0000-0002-6678-2266</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Device removal Device Removal - trends Female Follow-Up Studies Fracture fixation Fracture Fixation, Internal - trends Humans Lumbar vertebra Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - injuries Lumbar Vertebrae - surgery Male Middle Aged Patient Satisfaction Quality of life Range of motion Retrospective Studies Spinal Fractures - diagnostic imaging Spinal Fractures - surgery Thoracic Vertebrae - diagnostic imaging Thoracic Vertebrae - injuries Thoracic Vertebrae - surgery Thoracolumbar vertebra Time Factors Treatment Outcome |
| title | Outcomes in Thoracolumbar and Lumbar Traumatic Fractures: Does Restoration of Unfused Segmental Mobility Correlated to Implant Removal Time? |
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