Predictive Markers in Decision-Making for Screwing the Fractured Thoracolumbar Vertebra in the Short-Segment Instrumentation

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dc.contributor.authorOgden, Mustafa
dc.contributor.authorYuksel, Ulas
dc.contributor.authorKaragedik, Mustafa Ilker
dc.contributor.authorBulut, Ibrahim Umud
dc.contributor.authorBakar, Bulent
dc.date.accessioned2025-01-21T16:43:36Z
dc.date.available2025-01-21T16:43:36Z
dc.date.issued2022
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIntroduction: In this study, it is aimed to compare the long-term results of patients with short-segment instrumentation where screws were inserted into the fractured vertebra with those of patients with long-segment instrumentation applied by skipping the fractured vertebra and reveal the predictive markers in decision-making for screwing fractured vertebra.Methods: Patients were separated into two groups, namely, Group A (patients in which the fractured vertebra and vertebrae above and below the fractured vertebra were screwed (short-segment instrumentation, n=22) and Group B (patients in whom the fractured vertebra was not screwed, whereas two vertebrae above and below the fractured vertebra were screwedResults: The presence of pedicle fracture, AOSpine Classification Scale score, the height of the fractured vertebra, vertebra height below the fractured vertebra, spinal canal diameter, and duration of stay in hospital were different between the groups, preoperatively (p<0.05). Fractured vertebra height, vertebra height below the fractured vertebra, and Karnofsky Performance Scale score were different between the groups in long-term follow-up (p<0.05). The preoperative measurement values were similar to each group's postoperative long-term follow-up results. Logistic regression analysis revealed that the presence of pedicle fracture, AOSpine Classification Scale score, vertebra height below the fractured vertebra, and spinal canal diameter could be the best parameters in decision-making for screwing fractured vertebra (p<0.05). Conclusions: Both instrumentation procedures were observed to have similar effectiveness in preventing a collapse in fractured vertebra during long-term follow-up. It was thought that the AOSpine Classification Scale score, presence of pedicle fracture, vertebra height below the fractured vertebra, and spinal canal diameter could be used as predictive markers in decision-making for screwing fractured vertebrae. Consequently, it was concluded that patients with pedicle fractures, more height loss in the vertebra below the fractured vertebra, and narrow spinal canal would not be suitable for screwing the fractured vertebra.
dc.identifier.doi10.22603/ssrr.2021-0216
dc.identifier.endpage511
dc.identifier.issn2432-261X
dc.identifier.issue5
dc.identifier.pmid36348690
dc.identifier.scopus2-s2.0-85147694200
dc.identifier.scopusqualityQ3
dc.identifier.startpage503
dc.identifier.urihttps://doi.org/10.22603/ssrr.2021-0216
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25298
dc.identifier.volume6
dc.identifier.wosWOS:000861241100001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherJapanese Soc Spine Surgery & Related Research
dc.relation.ispartofSpine Surgery and Related Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectthoracolumbar; vertebra fracture; instrumentation; outcome
dc.titlePredictive Markers in Decision-Making for Screwing the Fractured Thoracolumbar Vertebra in the Short-Segment Instrumentation
dc.typeArticle

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