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ORIGINAL ARTICLE
Year : 2015  |  Volume : 10  |  Issue : 4  |  Page : 286-289

The long-term efficacy of pedicular screw fixation at patients suffering from thoracolumbar burst fractures without neurological deficit


1 Department of Neurosurgery, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Neurology, Hannover Medical School (MHH), Hannover, Germany

Correspondence Address:
Seyed Amirhossein Javadi
Department of Neurosurgery, Neuroscience Institute, Tehran University of Medical Sciences, Keshavarz Blvd., 14197-33141, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.162704

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Objectives: Treatment of choice at stable burst fracture is still a matter of debate. The aim of this study is assessment of health-related quality of life (HRQOL) regarding short form-36 (SF-36) and its correlation with kyphosis in patients affected by thoracolumbar burst fracture without neurological deficit undergoing posterior short segment pedicular screw fixation. Materials and Methods: Twenty patients with thoracolumbar burst fractures without neurological deficits, meeting our criteria were enrolled in this study. The patients underwent short segment pedicular screw fixation. After 2 years of follow-up, the outcome assessment was performed with evaluating HRQOL; SF-36. The mean ± standard deviation was measured at each eight category of SF-36 and compared with normative values of Iran. The correlation of Cobb angle and body pain was analyzed by linear regression. Results: The study detected reduced quality of life (QOL), with total mean of 49.7 ± 14 and physical function grade of 61.2 ± 22 which was significantly lower than Iran normative reported as 85.9 ± 19. Fifty percent still suffered from moderate to severe pain and Cobb angle had no statistically significant correlation with body pain. Conclusions: It seems that surgical treatment could not improve pain related disability of patients with stable thoracolumbar burst fracture at long term follow up.


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