الفهرس | Only 14 pages are availabe for public view |
Abstract This study aimed to assess the clinical and radiological outcome of long segment versus short segment fixation in traumatic dorsolumbar region fractures. Once it is decided that thoracolumbar junction fractures are to be treated surgically, the treatment objective, irrespective of selected method of treatment, is to fix stability of vertebral column, decompress the vertebral canal, manage the patient’s pain and lead to patient mobilization as soon as possible. Short segment fixation was improved to have screws inserted bilaterally, not just above and beneath the fractured vertebra but equally into the index vertebra. This markedly reduced the number of cases that experienced screw withdrawal at the proximal end, correction loss and screw breakage with this method and made it a popular option. However, there is a controversy as some studies still report slightly higher complication rates with this method compared to long segment fixation, even though the same studies still demonstrate that long-term clinical results have no significant difference between the two methods |