{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T20:05:57Z","timestamp":1780776357854,"version":"3.54.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Previous research emphasizes correcting deformities resulting from spine fractures by restoring sagittal alignment and vertebral height. This study aims to compare radiologic outcomes, including sagittal index (SI) and loss of vertebral body height (LVBH), between stand-alone posterior stabilization (group I) and the posteroanterior\/combined approach (group II) in the operative management of traumatic thoracic or lumbar spine fractures.<\/jats:p><jats:p>In this retrospective single-center study, all patients with traumatic spine fractures (T1\u2013L5) undergoing surgical stabilization between January 1, 2015, and May 31, 2021, were included. Two spine surgeons independently assessed imaging, recording the SI and LVBH values at baseline, after each surgical intervention, and during follow-up (at least 3 months posttreatment). The mean SI and LVBH values between the assessing surgeons were utilized. Linear mixed-effects regression models, adjusted to baseline values, compared the SI and the LVBH values between the two groups.<\/jats:p><jats:p>In all, 71 patients (42 men), with the median age of 38 years (interquartile range [IQR]: 28\u201354) and median follow-up of 4 months (IQR: 3\u201317), were included. Thirty-two patients were in group I and 39 patients were in group II. Forty fractures included the thoracolumbar junction (T12 or L1), 15 affected the thoracic spine, and 14 the lumbar spine. The regression model revealed superior sagittal alignment in group II, with an adjusted mean difference for SI of \u20134.24 (95% confidence interval [CI]: \u20137.13 to \u20131.36; p\u2009=\u20090.004), and enhanced restoration of vertebral body height with an adjusted mean difference for LVBH of 0.11 in the combined approach (95% CI: 0.02\u20130.20; p\u2009=\u20090.02). Nine postoperative complications occurred in the entire cohort (4 in group I and 5 in group II).<\/jats:p><jats:p>Combined posteroanterior stabilization for spine fractures improves deformities by enhancing sagittal alignment and increasing vertebral body height, with acceptable morbidity compared with the stand-alone posterior approach.<\/jats:p>","DOI":"10.1055\/a-2331-2466","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T19:22:19Z","timestamp":1716405739000},"page":"516-523","source":"Crossref","is-referenced-by-count":1,"title":["Radiologic Outcomes after Operative Management of Traumatic Spine Fractures: Stand-Alone Posterior Stabilization versus Combined Anteroposterior Approach"],"prefix":"10.1055","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2614-610X","authenticated-orcid":false,"given":"Ali","family":"Mulhem","sequence":"additional","affiliation":[{"name":"Department for Continuing Education, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziad","family":"Omran","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vivantes Klinikum im Friedrichshain, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Hammersen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vivantes Klinikum im Friedrichshain, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven Rainer","family":"Kantelhardt","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Vivantes Klinikum im Friedrichshain, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jor.2016.06.019","article-title":"The 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Spine J"},{"issue":"S 01","key":"ref9","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s00113-015-0084-x","article-title":"Geschichte des Wirbelk\u00f6rperersatzes","volume":"118","author":"T Tarhan","year":"2015","journal-title":"Unfallchirurg"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1038\/sc.2010.159","article-title":"Posterior\/anterior combined surgery for thoracolumbar burst fractures: posterior instrumentation with pedicle screws and laminar hooks, anterior decompression and strut grafting","volume":"49","author":"M Machino","year":"2011","journal-title":"Spinal Cord"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.47009\/ajmr.2020.9.2.OR1","article-title":"Short segment versus long segment posterior pedicle screws fixation for treatment of thoracolumbar burst fracture: a comparative prospective study","volume":"9","author":"A Singh","year":"2020","journal-title":"Asian J Med Res [Internet]"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1097\/01.brs.0000209251.65417.16","article-title":"Combined anterior plus posterior stabilization versus posterior short-segment instrumentation and fusion for mid-lumbar (L2-L4) burst fractures","volume":"31","author":"P Korovessis","year":"2006","journal-title":"Spine"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"388","DOI":"10.31616\/asj.2019.0203","article-title":"Does combined anterior-posterior approach improve outcomes compared with posterioronly approach in traumatic thoracolumbar burst fractures?: a systematic review","volume":"14","author":"T Tan","year":"2020","journal-title":"Asian Spine J"},{"issue":"06","key":"ref14","first-page":"432","article-title":"The contribution of the three columns of the spine to spinal stability: a biomechanical model","volume":"27","author":"T R 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