{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T01:02:04Z","timestamp":1792285324587,"version":"4.4.0"},"reference-count":43,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003We evaluate the feasibility of a single-stage posterior corpectomy and circumferential arthrodesis with the aid of spinal navigation for the treatment of traumatic thoracolumbar burst fractures.<\/jats:p><jats:p>\n          Methods\u2003This was a single-center, retrospective study. Demographics, clinical, and radiologic data of 19 patients who underwent surgery at our institution for thoracolumbar burst fractures between 2016 and 2019 were collected. All patients enrolled in the present study underwent surgery by means of posterior fixation and transpedicular corpectomy with the aid of an intraoperative image-guided neuronavigation system.<\/jats:p><jats:p>\n          Results\u2003Postoperative correction of the vertebral height ratio was achieved in all cases, with an average increase of 23.6% (p\u2009=\u20090.0005). No statistical differences (p\u2009=\u20090.9) were found comparing 1- and 3-month postoperative CT scans, in relation to vertebral height ratio. A statistically significant difference was found between the pre- and postoperative kyphotic angles for the thoracolumbar and lumbar segments (p\u2009=\u20090.0018 and 0.005, respectively), but no difference was found between kyphotic angles at the 3-month follow-up. A unilateral approach was performed on 15 patients (79%), while 4 cases (21%) required a bilateral laminectomy. We did not observe any significant intraoperative complication.<\/jats:p><jats:p>\n          Conclusion\u2003Single-stage posterior corpectomy and fixation is a safe and effective approach for thoracic and lumbar burst fractures. It provides excellent 360-degree reconstruction in a single surgical stage with satisfactory results in terms of kyphosis reduction, biomechanical stability, and reduced invasiveness. Spinal navigation represents a fundamental tool to overcome some anatomical limits of the presented technique.<\/jats:p>","DOI":"10.1055\/s-0042-1743515","type":"journal-article","created":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T00:12:36Z","timestamp":1649290356000},"page":"489-497","source":"Crossref","is-referenced-by-count":7,"title":["Single-Stage Posterior Transpedicular Corpectomy and 360-Degree Reconstruction for Thoracic and Lumbar Burst Fractures: Technical Nuances and Outcomes"],"prefix":"10.1055","volume":"84","author":[{"given":"Carla Daniela","family":"Anania","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6514-6188","authenticated-orcid":false,"given":"Beatrice Claudia","family":"Bono","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy"},{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariapia","family":"Tropeano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy"},{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Fornari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco","family":"Servadei","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"},{"name":"Department of Neurosurgery, Clinical Institute Humanitas, Rozzano, Lombardia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Costa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy"},{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,4,6]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"459","DOI":"10.3171\/2012.8.SPINE111003","article-title":"Epidemiology of traumatic spinal fractures: experience from medical university-affiliated hospitals in Chongqing, China, 2001-2010","volume":"17","author":"H Wang","year":"2012","journal-title":"J Neurosurg Spine"},{"issue":"20","key":"ref2","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.1097\/01.brs.0000182986.43345.cb","article-title":"A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status","volume":"30","author":"A R Vaccaro","year":"2005","journal-title":"Spine"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"E10","DOI":"10.3171\/2014.5.FOCUS1452","article-title":"Circumferential management of unstable thoracolumbar fractures using an anterior expandable cage, as an alternative to an iliac crest graft, combined with a posterior screw fixation: results of a series of 85 patients","volume":"37","author":"T Graillon","year":"2014","journal-title":"Neurosurg Focus"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"466","DOI":"10.3171\/SPI.2008.9.11.466","article-title":"Anterior approach to thoracic and lumbar spine lesions: results in 145 consecutive cases","volume":"9","author":"G D'Aliberti","year":"2008","journal-title":"J Neurosurg Spine"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"599","DOI":"10.3171\/jns.1998.89.4.0599","article-title":"Transthoracic vertebrectomy for metastatic spinal tumors","volume":"89","author":"Z L Gokaslan","year":"1998","journal-title":"J Neurosurg"},{"key":"ref6","first-page":"232","article-title":"Simultaneous anterior-posterior approach to the thoracic and lumbar spine for the radical resection of tumors followed by reconstruction and stabilization","volume":"94","author":"D R Fourney","year":"2001","journal-title":"J Neurosurg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"583","DOI":"10.3171\/2010.1.SPINE09292","article-title":"The transpedicular approach compared with the anterior approach: an analysis of 80 thoracolumbar corpectomies","volume":"12","author":"D C Lu","year":"2010","journal-title":"J Neurosurg Spine"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"271","DOI":"10.3171\/spi.2006.5.3.271","article-title":"Expandable cage placement via a posterolateral approach in lumbar spine reconstructions. 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