PT  - JOURNAL ARTICLE
AU  - Mittal, Samarth
AU  - Ifthekar, Syed
AU  - Ahuja, Kaustubh
AU  - Sarkar, Bhaskar
AU  - Singh, Gobinder
AU  - Rana, Arvind
AU  - Kandwal, Pankaj
TI  - Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study
AID  - 10.14444/8006
DP  - 2021 Feb 01
TA  - International Journal of Spine Surgery
PG  - 55--61
VI  - 15
IP  - 1
4099  - https://www.ijssurgery.com/content/15/1/55.short
4100  - https://www.ijssurgery.com/content/15/1/55.full
SO  - Int J Spine Surg2021 Feb 01; 15
AB  - Background: Long-segment posterior fixation has been used as a mainstay treatment of spine fracture-dislocations. Studies using short-segment posterior fixation in cases of thoracolumbar fracture-dislocation are limited. We describe our experience of 26 patients with thoracolumbar fracture-dislocation treated by short-segment or long-segment posterior spinal fixation and fusion.Methods: This is a single-center retrospective study of 26 patients with thoracolumbar fracture-dislocation treated by long-segment (group 1, n = 12) and short-segment posterior instrumentation (group 2, n = 14). Clinical (visual analog scale [VAS], Oswestry Disability Index [ODI]), neurological (American Spinal Injury Association [ASIA] scale), radiological (kyphotic angle, translational percentage, and displacement angle), and surgical (blood loss, operative time) outcomes and complications were recorded with each method. The mean follow-up period was 8.64 months (6–20 months).Results: The mean duration of surgery was 3.92 ± 0.67 hours in group 1 and 3.21 ± 0.54 hours in group 2, and mean blood loss was 583.33 ± 111.5 mL and 478.6 ±112.2 mL in groups 1 and 2, respectively (P < .05). There was no radiologically visible pseudarthrosis, implant failure, or screw breakage in either group at follow up with no statistically significant difference between the 2 groups with regard to the radiological outcome (P > .05). Two patients in group 1 and 6 patients in group 2 improved after surgery at least 1 ASIA grade. VAS and ODI improved in both groups at the final follow up.Conclusions: Short-segment fixation can be used for treating fracture-dislocation patients, as it results in less blood loss, decreased intraoperative time, and saves fusion segments with similar radiological and clinical outcomes as long-segment fixation.Level of Evidence: 3.