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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 150 - 160 (11page)
이용수
초록· 키워드
오류제보하기
Posterior pedicle screw fixation has become a popular method for treating thoracolumbar burst fractures. However, it remains unclear whether additional fixation of more segments could improve clinical and radiological outcomes. This meta-analysis was performed to evaluate the effectiveness of fixation levels with pedicle screw fixation for thoracolumbar burst fractures. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Springer, and Google Scholar were searched for relevant randomized and quasirandomized controlled trials that compared the clinical and radiological efficacy of short versus long segment for thoracolumbar burst fractures managed by posterior pedicle screw fixation. Risk of bias in included studies was assessed using the Cochrane Risk of Bias tool. Based on predefined inclusion criteria, Nine eligible trials with a total of 365 patients were included in this meta-analysis. Results were expressed as risk difference for dichotomous outcomes and standard mean difference for continuous outcomes with 95% confidence interval. Baseline characteristics were similar between the short and long segment fixation groups. No significant difference was identified between the two groups regarding radiological outcome, functional outcome, neurologic improvement, and implant failure rate. The results of this meta-analysis suggested that extension of fixation was not necessary when thoracolumbar burst fracture was treated by posterior pedicle screw fixation. More randomized controlled trials with high quality are still needed in the future.
목차
등록된 정보가 없습니다.
참고문헌 (5)
참고문헌 신청
Gun-Woo Kim / 2014 / Predictive Factors for a Kyphosis Recurrence Following Short-Segment Pedicle Screw Fixation Including Fractured Vertebral Body in Unstable Thoracolumbar Burst Fractures / 대한신경외과학회지 56(3):230~236
Sasso RC / 2005 / Anterior-only stabilization of three-column thoracolumbar injuries / J Spinal Disord Tech 18(Suppl):S7~S14
김학선 / 2009 / Comparison of Surgical Outcomes in Thoracolumbar Fractures Operated with Posterior Constructs Having Varying Fixation Length with Selective Anterior Fusion / Yonsei Medical Journal 50(4):546~554
Carl AL / 1992 / Pedicle screw instrumentation for thoracolumbar burst fractures and fracture-dislocations / Spine (Phila Pa 1976) 17(8 Suppl):S317~S324
Suresh Reddy Chinthakunta / 2014 / Pedicle Screw Configuration for Thoracolumbar Burst Fracture Treatment: Short versus Long Posterior Fixation Constructs with and without Anterior Column Augmentation / Asian Spine Journal 8(1):35~43
Sasso RC / 2005 / Anterior-only stabilization of three-column thoracolumbar injuries / J Spinal Disord Tech 18(Suppl):S7~S14
김학선 / 2009 / Comparison of Surgical Outcomes in Thoracolumbar Fractures Operated with Posterior Constructs Having Varying Fixation Length with Selective Anterior Fusion / Yonsei Medical Journal 50(4):546~554
Carl AL / 1992 / Pedicle screw instrumentation for thoracolumbar burst fractures and fracture-dislocations / Spine (Phila Pa 1976) 17(8 Suppl):S317~S324
Suresh Reddy Chinthakunta / 2014 / Pedicle Screw Configuration for Thoracolumbar Burst Fracture Treatment: Short versus Long Posterior Fixation Constructs with and without Anterior Column Augmentation / Asian Spine Journal 8(1):35~43
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