Abstract：
BACKGROUND:Vertebroplasty with posterior spinal fusion (VP + PSF) is one of the most widely accepted surgical techniques for treating osteoporotic vertebral collapse (OVC). Nevertheless, the effect of the extent of fusion on surgical outcomes remains to be established. This study aimed to evaluate the surgical outcomes of short- versus long-segment VP + PSF for OVC with neurological impairment in thoracolumbar spine. METHODS:We retrospectively collected data from 133 patients (median age, 77 years; 42 men and 91 women) from 27 university hospitals and their affiliated hospitals. We divided patients into two groups: a short-segment fusion group (S group) with 2- or 3-segment fusion (87 patients) and a long-segment fusion group (L group) with 4- through 6-segment fusion (46 patients). Surgical invasion, clinical outcomes, local kyphosis angle (LKA), and complications were evaluated. RESULTS:No significant differences between the two groups were observed in terms of neurological recovery, pain scale scores, and complications. Surgical time was shorter and blood loss was less in the S group, whereas LKA at the final follow-up and correction loss were superior in the L group. CONCLUSION:Although less invasiveness and validity of pain and neurological relief are secured by short-segment VP + PSF, surgeons should be cautious regarding correction loss.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Ishikawa Y,Watanabe K,Katsumi K,Ohashi M,Shibuya Y,Izumi T,Hirano T,Endo N,Kaito T,Yamashita T,Fujiwara H,Nagamoto Y,Matsuoka Y,Suzuki H,Nishimura H,Terai H,Tamai K,Tagami A,Yamada S,Adachi S,Yoshii T,Ushio S,doi
10.1186/s12891-020-03539-0subject
Has Abstractpub_date
2020-08-01 00:00:00pages
513issue
1issn
1471-2474pii
10.1186/s12891-020-03539-0journal_volume
21pub_type
杂志文章abstract：BACKGROUND:Exercise programmes have shown to be important for the prevention of fractures in patients with established osteoporosis. However, few studies have evaluated the effect of such programmes for women with low bone mineral density (BMD) (osteoporosis or osteopenia) who have already suffered a fracture. Studies ...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12891-015-0811-z
更新日期：2015-11-14 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-9-112
更新日期：2008-08-18 00:00:00
abstract：BACKGROUND:Many studies show a relation between reduced lumbar motor control (LMC) and low back pain (LBP). However, test circumstances vary and during test performance, subjects may change position. In other words, the reliability--i.e. reproducibility and validity--of tests for LMC should be based on quantitative dat...
journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,随机对照试验
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更新日期：2011-05-25 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-016-0985-z
更新日期：2016-03-18 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-020-03788-z
更新日期：2020-11-18 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-016-0942-x
更新日期：2016-02-22 00:00:00
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journal_title：BMC musculoskeletal disorders
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doi：10.1186/1471-2474-9-59
更新日期：2008-04-28 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12891-015-0590-6
更新日期：2015-06-14 00:00:00
abstract：BACKGROUND:Low back pain (LBP) is a common problem that can contribute to motor dysfunction. Previous studies reporting the changes in kinematic characteristics caused by LBP present conflicting results. This study aimed to apply the multisegmental spinal model to investigate the kinematic changes in patients with lumb...
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doi：10.1186/s12891-017-1572-7
更新日期：2017-05-25 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
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更新日期：2018-09-07 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-016-0936-8
更新日期：2016-02-16 00:00:00
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pub_type： 杂志文章
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更新日期：2010-03-02 00:00:00
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doi：10.1186/s12891-019-2577-1
更新日期：2019-05-10 00:00:00
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doi：10.1186/s12891-020-3165-0
更新日期：2020-03-12 00:00:00
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更新日期：2020-03-23 00:00:00
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pub_type： 杂志文章
doi：10.1186/s12891-019-2693-y
更新日期：2019-07-15 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/1471-2474-13-17
更新日期：2012-02-10 00:00:00
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doi：10.1186/1471-2474-5-9
更新日期：2004-03-17 00:00:00
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更新日期：2004-09-24 00:00:00
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doi：10.1186/1471-2474-12-48
更新日期：2011-02-18 00:00:00
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doi：10.1186/s12891-015-0467-8
更新日期：2015-02-04 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-016-1216-3
更新日期：2016-08-22 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2008-11-18 00:00:00
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更新日期：2020-07-13 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-019-2705-y
更新日期：2019-07-26 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章
doi：10.1186/s12891-020-03310-5
更新日期：2020-04-29 00:00:00
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journal_title：BMC musculoskeletal disorders
pub_type： 杂志文章,多中心研究
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