Study of the consolidation of type B thoracolumbar fractures treated by monosegmental percutaneous osteosynthesis in patients with an ankylosed spine.

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2026-10-06 DOI:10.1007/s00586-026-10389-2

Elise Caron, Insafe Mezjan, Nacer Mansouri, David Masson

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Abstract

Purpose: The objective is to study the rate of fusion of type B thoracolumbar fractures occurring in patients with an ankylosed spine and treated by monosegmental percutaneous osteosynthesis.

Methods: We report 43 patients who underwent a mono-segmental screw fixation in this indication, between January 1, 2018, and December 31, 2023, at the University Hospital of Nancy, with follow up at 3, 6, 9 and 12 months. A CT scan was done at each post operative control and fusion was evaluated.

Results: Of the 43 included patients, 41 had complete fusion at 12 months (95%) and 2 (5%) had fractures that did not consolidate. We had not any displacement of screws or rods. 29 men (67%) and 14 women (33%). The average age was 70.6 ± 11.5 years. Hospitalization duration averaged 10.7 ± 9.4 days (range 2-49), with a median of 7 days. Ten patients had medical complications during hospitalization stay (23%).

Conclusion: Mono-segmental percutaneous osteosynthesis could enable fracture consolidation at 12 months in patients with thoracolumbar type B fractures and had ankylosed spine.

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单节段经皮骨融合术治疗强直性脊柱B型胸腰椎骨折的疗效观察。

目的：目的是研究B型胸腰椎骨折发生强直性脊柱和单节段经皮骨融合术治疗的融合率。方法：我们报告了2018年1月1日至2023年12月31日期间在南希大学医院接受单节段螺钉固定的43例患者，随访时间为3、6、9和12个月。每次术后对照均行CT扫描并评估融合情况。结果：在纳入的43例患者中，41例在12个月时完全融合（95%），2例（5%）骨折未巩固。我们没有任何螺钉或杆的移位。男性29人（67%），女性14人（33%）。平均年龄70.6±11.5岁。住院时间平均为10.7±9.4天（范围2-49），中位数为7天。10例患者在住院期间出现并发症（23%）。结论：单节段经皮骨融合术可使胸腰椎B型骨折和脊柱强直患者在12个月时骨折巩固。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe