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The aim of this study was to evaluate clinical and radiological outcomes after dorsal or 360\u00b0 instrumentation of osteoporotic fractures of the thoracolumbar spine in a cohort of patients representing clinical reality.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A total of 116 consecutive patients were operated on between 2008 and 2020. Inclusion criteria were osteoporotic fracture, thoracolumbar location, and dorsal instrumentation. In 79 cases, vertebral body replacement (VBR) was performed additionally. Patient outcomes including complications, EQ-5D at follow-up, and sagittal correction were analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Medical and surgical complications occurred in 59.5% of patients with 360\u00b0 instrumentation compared to 64.9% of patients with dorsal instrumentation only (<jats:italic>p<\/jats:italic>\u2009=\u20090.684). Dorsal instrumentation plus VBR resulted in a sagittal correction of 9.3\u2009\u00b1\u20097.4\u00b0 (0.1\u201331.6\u00b0) compared to 6.0\u2009\u00b1\u20095.6\u00b0 (0.2\u201322.8\u00b0) after dorsal instrumentation only, respectively (<jats:italic>p<\/jats:italic>\u2009=\u20090.0065). EQ-5D was completed by 79 patients after 4.00\u2009\u00b1\u20092.88\u00a0years (0.1\u201311.8\u00a0years) and was 0.56\u2009\u00b1\u20090.32 (\u2212\u20090.21\u20131.00) for VBR compared to 0.56\u2009\u00b1\u20090.34 (\u2212\u20090.08\u20131.00) without VBR after dorsal instrumentation (<jats:italic>p<\/jats:italic>\u2009=\u20090.994).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>360\u00b0 instrumentation represents a legitimate surgical technique with no additional morbidity even for the elderly and multimorbid osteoporotic population. Particularly, if sufficient long-term construct stability is in doubt or ventral stenosis is present, there is no need to abstain from additional ventral reinforcement and decompression.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-021-07044-3","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T17:02:27Z","timestamp":1636131747000},"page":"1138-1146","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Dorsal instrumentation with and without vertebral body replacement in patients with thoracolumbar osteoporotic fractures shows comparable outcome measures"],"prefix":"10.1007","volume":"31","author":[{"given":"Maximilian","family":"Schwendner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Motov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Mi","family":"Ryang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4050-1531","authenticated-orcid":false,"given":"Sandro M.","family":"Krieg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,11,5]]},"reference":[{"key":"7044_CR1","doi-asserted-by":"publisher","first-page":"2618","DOI":"10.1002\/jcp.25001","volume":"230","author":"E Curtis","year":"2015","unstructured":"Curtis E, Litwic A, Cooper C, Dennison E (2015) Determinants of muscle and bone aging. 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All authors declare no other relationships or activities that could appear to have influenced the submitted work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}