Construct length analysis of type B and C cervical and thoracolumbar fractures.
Publication/Presentation Date
1-1-2024
Abstract
OBJECTIVES: The purpose of this study is to identify if construct length affects the rate of surgical complications and instrumentation revision following surgical fixation of subaxial and thoracolumbar Type B and C fractures. This study evaluates the effect of ankylosing spondylitis/diffuse idiopathic skeletal hyperostosis (AS/DISH) within this population on outcomes.
METHODS: Retrospective review of 91 cervical and 89 thoracolumbar Type B and C fractures. Groups were divided by construct length for analysis: short-segment (constructs spanning two or less segments adjacent to the fracture) and long-segment (constructs spanning more than two segments adjacent to the vertebral fracture).
RESULTS: For cervical fractures, construct length did not impact surgical complications (
CONCLUSION: Patients with short-segment instrumentation have similar surgical outcomes and changes in kyphosis compared to those with long-segment instrumentation. A diagnosis of AS/DISH or osteoporosis was associated with worse surgical outcomes.
Volume
15
Issue
2
First Page
196
Last Page
204
ISSN
0974-8237
Published In/Presented At
Heard, J. C., Lambrechts, M. J., Lee, Y., Ezeonu, T., Trenchfield, D. R., D'Antonio, N. D., Dees, A. N., Wiafe, B. M., Mangan, J. J., Canseco, J. A., Woods, B. I., Kaye, I. D., Hilibrand, A. S., Vaccaro, A. R., Kepler, C. K., & Schroeder, G. D. (2024). Construct length analysis of type B and C cervical and thoracolumbar fractures. Journal of craniovertebral junction & spine, 15(2), 196–204. https://doi.org/10.4103/jcvjs.jcvjs_17_24
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38957771
Department(s)
Administration and Leadership
Document Type
Article