The biomechanics of long versus short fixation for thoracolumbar spine fractures.

Abstract:

STUDY DESIGN:Literature review. OBJECTIVE:Provide an overview of biomechanical strengths and weaknesses of long and short fixation constructs applied in thoracolumbar fractures, along with a discussion of specific indications for selecting an instrumentation construct for a given fracture. SUMMARY OF BACKGROUND DATA:Previous clinical and biomechanical studies have shown that segmental spinal instrumentation provides superior torsional, axial, and sagittal stability relative to nonsegmental systems. Multilevel fixation (long constructs) has proven reliable and effective in treating thoracic injuries, with or without anterior reconstruction. Short-segment pedicle instrumentation (short constructs) have proven effective in stabilizing thoracolumbar and lumbar fractures while limiting the disruption of lower lumbar motion segments. Loss of anterior column integrity leads to fixation failure when short constructs are not supplemented with further fixation or an anterior reconstruction. METHODS:Review of the applicable clinical and biomechanical literature. CONCLUSIONS:Long constructs serve well in thoracic and thoracolumbar fractures, while short-segment fixation offers advantages in selected thoracolumbar and lumbar fractures. Anterior column integrity determines the risk of sagittal collapse and kyphosis at the thoracolumbar junction. Recognition of fundamental biomechanical principles is necessary to make either construct work reliably.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

McLain RF

doi

10.1097/01.brs.0000218221.47230.dd

subject

Has Abstract

pub_date

2006-05-15 00:00:00

pages

S70-9; discussion S104

issue

11 Suppl

eissn

0362-2436

issn

1528-1159

pii

00007632-200605151-00013

journal_volume

31

pub_type

杂志文章,评审

相关文献

SPINE文献大全
  • Use of sensory-evoked potentials recorded from the human occiput for intraoperative physiologic monitoring of the spinal cord.

    abstract:STUDY DESIGN:This is a report of a prospective case series. OBJECTIVE:The purpose of this study was to determine whether evoked potential activity recorded from occipital scalp electrodes in humans is similar to that recorded in animals, and to evaluate the independence of this activity from the classical somatosensor...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199511000-00010

    authors: Hurlbert RJ,Fehlings MG,Moncada MS

    更新日期:1995-11-01 00:00:00

  • Use of Higher-strength Opioids has a Dose-Dependent Association With Reoperations After Lumbar Decompression and Interbody Fusion Surgery.

    abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:The aim of this study was to identify an association between preoperative opioid use and reoperations rates. SUMMARY OF BACKGROUND DATA:Chronic opioid use is a public health crisis in the United States and has been linked to worse outcomes after lumbar spine surger...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003751

    authors: Samuel AM,Lovecchio FC,Premkumar A,Louie PK,Vaishnav AS,Iyer S,McAnany SJ,Albert TJ,Gang CH,Qureshi SA

    更新日期:2021-02-01 00:00:00

  • The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments.

    abstract:STUDY DESIGN:A retrospective study was performed of 182 revisions on failed back surgery syndrome from the years 1965 to 1990. OBJECTIVE:To analyze the reasons for failure of primary discectomy, the outcome of the revisions, and factors that influenced those outcomes. SUMMARY OF BACKGROUND DATA:The reported reinterve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199603010-00017

    authors: Fritsch EW,Heisel J,Rupp S

    更新日期:1996-03-01 00:00:00

  • Association of Duration of Preoperative Opioid Use with Reoperation After One-Level Anterior Cervical Discectomy and Fusion in Non-Myelopathic Patients.

    abstract:STUDY DESIGN:Retrospective Cohort Study OBJECTIVE.: To determine that rates of preoperative opioid use in patients undergoing single-level ACDF without myelopathy and determine the association with reoperations over 5 years SUMMARY OF BACKGROUND DATA.: Preoperative opioid use before cervical spine surgery has been link...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003861

    authors: Samuel AM,Lovecchio FC,Premkumar A,Vaishnav AS,Kim HJ,Qureshi SA

    更新日期:2020-12-07 00:00:00

  • Preoperative fibrinogen plasma concentration is associated with perioperative bleeding and transfusion requirements in scoliosis surgery.

    abstract:STUDY DESIGN:Prospective observational study. OBJECTIVE:To investigate the potential association between fibrinogen, bleeding, and transfusion requirements after scoliosis surgery. SUMMARY OF BACKGROUND DATA:Bleeding complications during and after orthopedic surgery are associated with increased morbidity and mortali...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d952dc

    authors: Carling MS,Jeppsson A,Wessberg P,Henriksson A,Baghaei F,Brisby H

    更新日期:2011-04-01 00:00:00

  • Biomechanical study on the effect of cervical spine fusion on adjacent-level intradiscal pressure and segmental motion.

    abstract:STUDY DESIGN:A biomechanical study was performed using cadaveric cervical spine specimens. OBJECTIVE:To determine the effect of cervical spine fusion on adjacent-level intradiscal pressure. SUMMARY OF BACKGROUND DATA:Clinical studies have reported that patients with spinal fusion are at greater risk of pathology and ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200211150-00003

    authors: Eck JC,Humphreys SC,Lim TH,Jeong ST,Kim JG,Hodges SD,An HS

    更新日期:2002-11-15 00:00:00

  • Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial.

    abstract:STUDY DESIGN:Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. OBJECTIVE:To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic low back pain (cLBP). SUMMARY OF BACKGROUND DATA:Low back pain is one of...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e318275e601

    authors: Cho YJ,Song YK,Cha YY,Shin BC,Shin IH,Park HJ,Lee HS,Kim KW,Cho JH,Chung WS,Lee JH,Song MY

    更新日期:2013-04-01 00:00:00

  • Primary solitary cervical amyloidosis: case report and review of the literature.

    abstract:STUDY DESIGN:A case report and literature review are presented. OBJECTIVE:To describe and review the clinical presentations, characteristic findings from imaging studies, types, differential diagnosis, prognosis, and treatment of amyloidoma arising within the vertebrae. SUMMARY OF BACKGROUND DATA:Amyloidoma can occur...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000251016.54203.71

    authors: Iplikcioglu AC,Bek S,Gokduman CA,Cosar M,Sav A

    更新日期:2007-01-01 00:00:00

  • Hospital and Surgeon Variation in Patient-reported Functional Outcomes After Lumbar Spine Fusion: A Statewide Evaluation.

    abstract:STUDY DESIGN:Statewide retrospective cohort study using prospectively collected data from the Spine Care and Outcomes Assessment Program, capturing ∼75% of the state's spine fusion procedures. OBJECTIVE:The aim of this study was to estimate the variation in patient-reported outcomes (PROs) 1 year after elective lumbar...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003299

    authors: Khor S,Lavallee DC,Cizik AM,Bellabarba C,Dagal A,Hart RA,Howe CR,Martz RD,Shonnard N,Flum DR

    更新日期:2020-04-01 00:00:00

  • Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture.

    abstract:STUDY DESIGN:This study examined the coactivation of trunk flexor and extensor muscles in healthy individuals. The experimental electromyographic data and the theoretical calculations were analyzed in the context of mechanical stability of the lumbar spine. OBJECTIVES:To test a set of hypotheses pertaining to healthy ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199710010-00003

    authors: Cholewicki J,Panjabi MM,Khachatryan A

    更新日期:1997-10-01 00:00:00

  • Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study.

    abstract:STUDY DESIGN:Population-based, case-control and case-crossover study. OBJECTIVE:To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary care physician (PCP) visits and VBA stroke. SUMMARY OF BACKGROUND DATA:Chiropractic care is popular for neck...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181644600

    authors: Cassidy JD,Boyle E,Côté P,He Y,Hogg-Johnson S,Silver FL,Bondy SJ

    更新日期:2008-02-15 00:00:00

  • Distribution of the basic fibroblast growth factor and its receptor gene expression in normal and degenerated rat intervertebral discs.

    abstract:STUDY DESIGN:Using a rat spondylosis model, the distributions of cells expressing the basic fibroblast growth factor and its receptor were investigated in normal and degenerated intervertebral discs. Cell-proliferating activity in degenerated discs was also assessed. OBJECTIVES:This study was conducted to determine wh...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199509150-00002

    authors: Nagano T,Yonenobu K,Miyamoto S,Tohyama M,Ono K

    更新日期:1995-09-15 00:00:00

  • Can chronic disability be prevented? A randomized trial of a cognitive-behavior intervention and two forms of information for patients with spinal pain.

    abstract:STUDY DESIGN:A randomized controlled design superimposed on treatment as usual was used to compare the effects of a cognitive-behavior intervention aimed at preventing chronicity with two different forms of information. OBJECTIVE:To develop a coping-oriented preventive intervention applicable in primary care, and to c...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-200011010-00017

    authors: Linton SJ,Andersson T

    更新日期:2000-11-01 00:00:00

  • Radiotherapy and radiosurgery for metastatic spine disease: what are the options, indications, and outcomes?

    abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To determine the options, indications, and outcomes for conventional radiotherapy and radiosurgery for metastatic spine disease. METHODS:Three research questions were determined through a consensus among a multidisciplinary panel of spine oncology experts. A system...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181b8b6f5

    authors: Gerszten PC,Mendel E,Yamada Y

    更新日期:2009-10-15 00:00:00

  • A method to measure cervical spine motion over extended periods of time.

    abstract:STUDY DESIGN:System validation study. OBJECTIVE:To develop and validate a motion sensor system for measuring cervical spine motion over extended time periods. SUMMARY OF BACKGROUND DATA:Many studies using different methodologies have tried to estimate cervical spine motion. These have mostly been carried out in a lab...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318145a93a

    authors: Syed FI,Oza AL,Vanderby R,Heiderscheit B,Anderson PA

    更新日期:2007-09-01 00:00:00

  • Evidence-Based Recommendations for Spine Surgery.

    abstract::: This next issue of Evidence-Based Recommendations for Spine Surgery examines six articles that seek to address pressing and relevant issues in contemporary spine surgery. These articles explore the safety and efficacy of tranexamic acid during lumbar surgery, the utility of post-operative MRI after spinal decompress...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003512

    authors: Fisher CG,Vaccaro AR,Patel AA,Whang PG,Thomas KC,Chi J,Mulpuri K,Prasad SK

    更新日期:2020-06-15 00:00:00

  • Abnormal spontaneous activities on needle electromyography and their relation with pain behavior and nerve fiber pathology in a rat model of lumbar disc herniation.

    abstract:STUDY DESIGN:This longitudinal experimental study was conducted to investigate electrophysiologic characteristics, pain behavior, and histological changes in a rat model of lumbar disc herniation. OBJECTIVE:To observe abnormal spontaneous activity (ASA) on needle electromyography (EMG) and to determine its relation wi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318210aa10

    authors: Kim SJ,Kim WR,Kim HS,Park HW,Cho YW,Jang SH,Hwang SJ,Ahn SH

    更新日期:2011-11-15 00:00:00

  • Spinal evoked potentials from the cervical spine.

    abstract::Spinal cord evoked potentials were recorded from spinous processes of the lumbar, thoracic, and cervical levels of the spinal column of normal cats in response to direct stimulation of the sciatic nerve and subcutaneous stimulation of the posterior tibial nerve. The typical primary response was altered by changes in l...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-197911000-00007

    authors: Reger SI,Henry DT,Whitehill R,Wang GJ,Stamp WG

    更新日期:1979-11-01 00:00:00

  • Flexibility of scoliosis. What does it mean? Is this terminology appropriate?

    abstract::This work is a critical analysis of the term "flexibility of scoliosis." The authors demonstrate that this measure includes two very different and noncorrelated phenomena: the collapse and the reducibility of the structural curve. In 228 paralytic curves, these two phenomena were quantified and correlated with differe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Duval-Beaupère G,Lespargot A,Grossiord A

    更新日期:1985-06-01 00:00:00

  • Anterior extension of the thoracic vertebral bodies in Scheuermann's kyphosis. An anatomic study.

    abstract::Changes consistent with Scheuermann's kyphosis were noted in 103 specimens (7.4%) of a sample of 1,384 thoracic spines in the Hamann-Todd collection of human skeletons. In 94% of the affected vertebrae, a distinct anterior elongation of the vertebral centrum was present. This anterior extension was composed of mature ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198907000-00011

    authors: Digiovanni BF,Scoles PV,Latimer BM

    更新日期:1989-07-01 00:00:00

  • Comparison of Three Reconstructive Techniques in the Surgical Management of Patients With Four-Level Cervical Spondylotic Myelopathy.

    abstract:STUDY DESIGN:Retrospective clinical series. OBJECTIVE:To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of three reconstructive techniques after the anterior decompression of four-level cervical spondylotic myelopathy (CSM). SUMMARY OF BACKGROUND DATA:At present, ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001907

    authors: Li Z,Wang H,Tang J,Ren D,Li L,Hou S,Zhang H,Hou T

    更新日期:2017-05-15 00:00:00

  • A biomechanical comparison of modern anterior and posterior plate fixation of the cervical spine.

    abstract:STUDY DESIGN:A biomechanical study was designed to assess relative rigidity provided by anterior, posterior, or combined cervical fixation using cadaveric cervical spine models for flexion-distraction injury and burst fracture. OBJECTIVES:To compare the construct stability provided by anterior plating with locked fixa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200101010-00005

    authors: Do Koh Y,Lim TH,Won You J,Eck J,An HS

    更新日期:2001-01-01 00:00:00

  • Influence of sacral morphology in developmental spondylolisthesis.

    abstract:STUDY DESIGN:A radiographic study was conducted to investigate sacral morphology in a children and adolescent population with developmental L5-S1 spondylolisthesis. OBJECTIVE:To determine the relationship between sacral morphology and developmental L5-S1 spondylolisthesis. SUMMARY AND BACKGROUND DATA:The morphology o...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181857f70

    authors: Wang Z,Parent S,Mac-Thiong JM,Petit Y,Labelle H

    更新日期:2008-09-15 00:00:00

  • Hospital readmission rates after surgical treatment of primary and metastatic tumors of the spine.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:This study aimed to identify the rates and causes of unplanned hospital readmission at 30 days and 1 year after surgical treatment of primary and metastatic spinal tumors. SUMMARY OF BACKGROUND DATA:Primary spine tumors and non-spine tumors metastatic to the spine ca...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000517

    authors: Schairer WW,Carrer A,Sing DC,Chou D,Mummaneni PV,Hu SS,Berven SH,Burch S,Tay B,Deviren V,Ames C

    更新日期:2014-10-01 00:00:00

  • Complications and Mortality Following 1 to 2 Level Lumbar Fusion Surgery in Patients Above 80 Years of Age.

    abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE:To determine the 90-day complication rate and 90-day and 1-year mortality in patients 80 years of age and older who were treated with posterolateral lumbar spinal fusion surgery and to compare these rates against those of elderly patients ages 65 to 79. SUMMARY OF...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001759

    authors: Puvanesarajah V,Jain A,Shimer AL,Li X,Singla A,Shen F,Hassanzadeh H

    更新日期:2017-03-15 00:00:00

  • Distraction Arthrodesis of the C1-C2 Facet Joint with Preservation of the C2 Root for the Management of Intractable Occipital Neuralgia Caused by C2 Root Compression.

    abstract:STUDY DESIGN:Prospective observational cohort study. OBJECTIVE:To compare the outcomes of our new technique, distraction arthrodesis of C1-C2 facet joint with C2 root preservation (Study group), to those of conventional C1-C2 fusion with C2 root transection (Control group) for the management of intractable occipital n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001031

    authors: Yeom JS,Riew KD,Kang SS,Yi J,Lee GW,Yeom A,Chang BS,Lee CK,Kim HJ

    更新日期:2015-10-15 00:00:00

  • Cauda equina syndrome secondary to lumbar disc herniation: a meta-analysis of surgical outcomes.

    abstract:STUDY DESIGN:A meta-analysis of surgical outcomes of cauda equina syndrome secondary to lumbar disc herniation. OBJECTIVES:To determine the relationship between time to decompression after onset of cauda equina syndrome and clinical outcome, and to identify preoperative variables that were associated with outcomes. S...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/00007632-200006150-00010

    authors: Ahn UM,Ahn NU,Buchowski JM,Garrett ES,Sieber AN,Kostuik JP

    更新日期:2000-06-15 00:00:00

  • Pathogenesis of sciatic pain: a study of spontaneous behavior in rats exposed to experimental disc herniation.

    abstract:STUDY DESIGN:A new way to study pain in experimental animals without handling of the animals and based on registration of spontaneous behavior using video recordings. OBJECTIVES:To evaluate if experimental disc herniation in the rat may induce changes in spontaneous behavior. SUMMARY OF BACKGROUND DATA:The knowledge ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200206150-00013

    authors: Olmarker K,Størkson R,Berge OG

    更新日期:2002-06-15 00:00:00

  • Posterolateral Disc Prolapse in Flexion Initiated by Lateral Inner Annular Failure: An Investigation of the Herniation Pathway.

    abstract:STUDY DESIGN:Structural investigation of mechanically induced herniations in ovine lumbar motion segments. OBJECTIVE:This new study addresses the question of whether there are regions other than the posterior and posterolateral aspects that are implicated in the initiation of disc disruption and herniation. SUMMARY O...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002181

    authors: van Heeswijk VM,Thambyah A,Robertson PA,Broom ND

    更新日期:2017-11-01 00:00:00

  • A prospective follow-up study of low back pain in the community.

    abstract:STUDY DESIGN:Opportunistic prospective follow-up study. OBJECTIVE:To describe the natural history of low back pain in the community and to model the factors predictive of recovered versus persistent low back pain. SUMMARY OF BACKGROUND DATA:A two-phase questionnaire was mailed to adults in the Bradford Metropolitan H...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200008150-00013

    authors: Waxman R,Tennant A,Helliwell P

    更新日期:2000-08-15 00:00:00