onr:"swepub:oai:openarchive.ki.se:10616/43960"
Search: onr:"swepub:oai:openarchive.ki.se:10616/43960" > Pedicle screw fixat...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Kapoen, CarolijnAmsterdam UMC - Vrije Universiteit Amsterdam (author)
Pedicle screw fixation of thoracolumbar fractures : conventional short segment versus short segment with intermediate screws at the fracture level—a systematic review and meta-analysis
- Article/chapterEnglish2020
Publisher, publication year, extent ...
- 2020-06-11
- Springer Science and Business Media LLC,2020
- 14 s.
Numbers
- LIBRIS-ID:oai:lup.lub.lu.se:e7db0018-bd3f-4062-a210-7e4f3a3b33d1
- https://lup.lub.lu.se/record/e7db0018-bd3f-4062-a210-7e4f3a3b33d1URI
- https://doi.org/10.1007/s00586-020-06479-4DOI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- Objective: Posterior short-segment fixation (4-screw construct = 4S) is the conventional surgical technique for thoracolumbar fractures. The effect of adding two intermediate pedicle screws at the fractured level (6-screw construct = 6S) is still a matter of debate. This review aims to compare the results between 4 and 6S pedicle screw fixation for thoracolumbar fractures. Methods: A systematic review and meta-analysis were performed. The databases PubMed, Embase and Google Scholar were searched until January 2020. Inclusion criteria were studies comparing 4S and 6S techniques in patients with thoracolumbar fractures. Non-comparative studies and studies without full text were excluded. Cochrane risk of bias was assessed, and the GRADE approach was used to present the quality of evidence. Results: Twenty-seven studies, of which 21 randomized controlled trials, with a total of 1890 patients (940 with 4S and 950 with 6S) were included. Meta-analysis showed that the 6S technique resulted in significantly lower pain scores, better short-term and long-term Cobb angles, less loss of correction and less implant failures. However, longer operation time and more blood loss were seen with the 6S technique. Length of hospital stay, Oswestry Disability Index scores and infections did not differ significantly between the 6S and 4S techniques. Quality of the evidence according to GRADE was moderate to low. Conclusion: In the treatment of thoracolumbar fractures, adding intermediate screws at the fracture level (6S) results in less post-operative pain, better radiological outcomes and less implant failure at the cost of a longer operation time and higher blood loss.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
- Fracture level
- Intermediate screw
- Pedicle screw
- Spine
- Thoracolumbar fracture
Added entries (persons, corporate bodies, meetings, titles ...)
- Liu, YangLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)li6541ya (author)
- Bloemers, Frank W.Amsterdam UMC - Vrije Universiteit Amsterdam (author)
- Deunk, JaapAmsterdam UMC - Vrije Universiteit Amsterdam (author)
- Amsterdam UMC - Vrije Universiteit AmsterdamOrtopedi, Lund (creator_code:org_t)
Related titles
- In:European Spine Journal: Springer Science and Business Media LLC29:10, s. 2491-25040940-67191432-0932
Internet link
Find in a library
- European Spine Journal (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Kapoen, Carolijn
- Liu, Yang
- Bloemers, Frank ...
- Deunk, Jaap
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Orthopaedics
- Articles in the publication
- European Spine J ...
- By the university
- Lund University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
