Short segment fixation of thoracolumbar burst fractures

Academic Article


  • Short segment instrumentation for thoracolumbar fractures or fracture dislocations continues to be controversial. Recently, a load-sharing classification score was developed to help predict failure of posterior instrumented fusion alone used for highly comminuted and kyphotic fractures. Twenty-two patients treated with short-segment posterior instrumentation for thoracolumbar fractures were retrospectively reviewed. Although posterior instrumented fusion was used for fractures with a relatively high load sharing classification score, the load-sharing classification score was not predictive of posterior instrumentation failure. Single-level cephalad instrumentation failed at a higher rate than two-level cephalad instrumentation.
  • Authors

    Published In

  • Orthopedics  Journal
  • Digital Object Identifier (doi)

    Author List

  • Scholl BM; Theiss SM; Kirkpatrick JS
  • Start Page

  • 703
  • End Page

  • 708
  • Volume

  • 29
  • Issue

  • 8