Short Segment vs Long Segment Fixation in Traumatic Dorsolumbar Spine Fractures

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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Key information

Conditions

Spinal Fracture Back Injuries Fractures, Bone Spinal Fractures Spinal Injuries Wounds and Injuries

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

short segment posterior spine fixation

Procedure

long segment posterior spine fixation

Procedure

Primary outcomes

Change in pain

Time frame: 3rd, 6th, 9th, 12th months

Visual analogue scale assessment
Change in disability

Time frame: 3rd, 6th, 9th, 12th months

assessment of Oswestry Disability Scale
Change in angle of correction

Time frame: 3rd, 6th, 9th, 12th months

Measurement of Cobb's angle

Sponsors and collaborators

Lead sponsor

Ain Shams University

Other

Registry information

Official study title

Short Segment Posterior Fixation With Index Level Screws Versus Long Segment Posterior Fixation for Thoracolumbar Spine Fracture: Angle of Correction and Pain

Important dates

Study start: 2012
Primary completion: 2016
Study completion: 2016
First posted: Sep 5, 2017
Registry last updated: Sep 6, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed