3-level open vs. 2- or 3-level percutaneous fixation for thoracolumbar fracture surgery .
A comparison of three different surgical procedures in the treatment of type A thoracolumbar fractures: a randomized controlled trial
Int Orthop. 2016 Jun;40(6):1233-8.90 patients with thoracolumbar fractures were randomized to receive one of three surgical interventions: three-level percutaneous fixation, two-level percutaneous fixation, or three-level open fixation. The purpose of this study was to compare clinical and radiological outcomes of these three procedures after a mean follow-up of 17.7 months. Results demonstrated comparable postoperative Cobb angles, anterior height ratios of fractured vertebrae, and correction loss between all three groups. However, patients in the three-level percutaneous fixation were observed with significantly reduced back pain scores and intraoperative blood loss when compared to three-level open fixation.
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