Combined posterior percutaneous pedicle screw fixation with anterior monosegmental column reconstruction for unstable thoracolumbar burst fractures: an institutional experience
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Lou, Chao
Lee, Keng Siang
Ma, Haiwei
Grahovac, Gordan
Yu, Weiyang
Chen, Zhenzhong
Liu, Feijun
He, Dengwei
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2025
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INTRODUCTION: This study aimed to assess the feasibility as well as the clinical and radiological outcomes of posterior percutaneous pedicle screw fixation (PPSF) combined with anterior monosegmental column reconstruction in unstable thoracolumbar burst fractures. METHODS: From January 2015 to August 2022, 65 consecutive patients with unstable thoracolumbar burst fractures were enrolled in this study. The patients underwent posterior PPSF combined with anterior monosegmental reconstruction, utilising titanium mesh cages. Primary outcomes included patient reported outcomes defined by the visual analog scale (VAS) score of low back and leg and ability to return to work. Secondary outcomes included radiological parameters, and treatment-related complications. RESULTS: The mean age of the patients was 48.2 ± 12.3 years. These patients were followed up for a period of 28.2 ± 14.1 months The VAS pain score significantly improved postoperatively ( CONCLUSIONS: Combined posterior PPSF with anterior monosegmental column reconstruction for unstable thoracolumbar burst fractures is safe and can achieve good clinical and radiological outcomes.
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British Journal of Neurosurgery