Document Type
Article
Publication Date
5-24-2024
Abstract
Objectives:
The purpose of this study is to identify if construct length affects the rate of surgical complications and instrumentation revision following surgical fixation of subaxial and thoracolumbar Type B and C fractures. This study evaluates the effect of ankylosing spondylitis/diffuse idiopathic skeletal hyperostosis (AS/DISH) within this population on outcomes.
Methods:
Retrospective review of 91 cervical and 89 thoracolumbar Type B and C fractures. Groups were divided by construct length for analysis: short-segment (constructs spanning two or less segments adjacent to the fracture) and long-segment (constructs spanning more than two segments adjacent to the vertebral fracture).
Results:
For cervical fractures, construct length did not impact surgical complications (P = 0.641), surgical hardware revision (P = 0.167), or kyphotic change (P = 0.994). For thoracolumbar fractures, construct length did not impact surgical complications (P = 0.508), surgical hardware revision (P = 0.224), and kyphotic change (P = 0.278). Cervical Type B fractures were nonsignificantly more likely to have worsened kyphosis (P = 0.058) than Type C fractures. Assessing all regions of the spine, a diagnosis of AS/DISH was associated with an increase in kyphosis (P = 0.030) and a diagnosis of osteoporosis was associated with surgical hardware failure (P = 0.006).
Conclusion:
Patients with short-segment instrumentation have similar surgical outcomes and changes in kyphosis compared to those with long-segment instrumentation. A diagnosis of AS/DISH or osteoporosis was associated with worse surgical outcomes.
Recommended Citation
Heard, Jeremy C.; Lambrechts, Mark J.; Lee, Yunsoo; Ezeonu, Teeto; Trenchfield, Delano R.; D'Antonio, Nicholas D.; Dees, Azra N.; Wiafe, Bright M.; Mangan, John J.; Canseco, Jose A.; Woods, Barrett I.; Kaye, Ian David; Hilibrand, Alan S.; Vaccaro, Alex R.; Kepler, Christopher K.; and Schroeder, Gregory D., "Construct Length Analysis of Type B and C Cervical And Thoracolumbar Fractures" (2024). Rothman Institute Faculty Papers. Paper 260.
https://jdc.jefferson.edu/rothman_institute/260
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.
Language
English
Comments
This article is the author's final published version in the Journal of Craniovertebral Junction and Spine, Volume 15, Issue 2, Apr - Jun 2024, Pg. 196 - 204.
The published version is available at https://doi.org/10.4103/jcvjs.jcvjs_17_24. Copyright © 2024 Journal of Craniovertebral Junction and Spine | Published by Wolters Kluwer ‑ Medknow.