{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:16:36Z","timestamp":1790619396423,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T00:00:00Z","timestamp":1623888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to evaluate the clinical outcomes of the Wiltse approach and percutaneous pedicle screw placement under O\u2010arm navigation for the treatment of thoracolumbar fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We enrolled a total of 54 patients with neurologically intact thoracolumbar fracture who received minimally invasive treatments between October 2014 and October 2018 in this retrospective study. Among these, 28 patients (22 males and six females, with a mean age of 48.6\u2009\u00b1\u20099.6\u2009years) were treated with pedicle screw fixation through the Wiltse approach (WPSF), and another 26 (15 males and 11 females, with a mean age of 45.7\u2009\u00b1\u200910.6\u2009years) received percutaneous pedicle screw fixation under O\u2010arm navigation (OPSF). Statistical methods were used to perform a detailed comparison of clinical outcomes, radiologic findings, and complications between the two groups obtained preoperatively, postoperatively, and at last follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients underwent surgery successfully and finished a follow\u2010up of more than 12\u2009months. No serious complications, such as infection, blood vessel injury, or spinal cord or nerve root injury occurred. Visual analog scale (VAS) scores, Oswestry disability index (ODI) scores, local Cobb angle (LCA), vertebral wedge angle (VWA), and R value were notably improved after surgery, though there was no clear discrepancy between the groups at each time point (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). During the follow\u2010up period, no patients developed neurological impairment or implant\u2010related complications, and no patients underwent revision surgery. The WPSF group had a significantly shorter operation time than the OPSF group (68.1\u2009\u00b1\u20099.8 <jats:italic>vs<\/jats:italic> 76.1\u2009\u00b1\u20099.0\u2009minutes, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.005). Moreover, the WPSF group showed less cost of surgery than the WPSF group (48142.1\u2009\u00b1\u20091430.1 <jats:italic>vs<\/jats:italic> 59035.4\u2009\u00b1\u20091152.7 CNY, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). There were no significant differences between the two groups in terms of the intraoperative bleeding, length of incision, or postoperative hospitalization time (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). The accuracy of pedicle screw placement was 95.2% (160\/168) in the WPSF group and 96.8% (151\/156) in the OPSF group, with no significant difference between the groups (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.432).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both WPSF and OPSF were safe and effective for the treatment of thoracolumbar fracture. Although the two groups showed favorable clinical and radiologic outcomes through to final follow\u2010up, we recommended the minimally invasive WPSF given its shorter operation time and lower cost of surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13053","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T06:10:20Z","timestamp":1623996620000},"page":"1618-1627","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Comparison of the Wiltse Approach and Percutaneous Pedicle Screw Fixation Under O\u2010arm Navigation for the Treatment of Thoracolumbar Fractures"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0661-2433","authenticated-orcid":false,"given":"Ying\u2010jie","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010ming","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Changshu Hospital Affiliated to Nanjing University of Chinese Medicine  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian\u2010feng","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Suzhou Dushuhu Public Hospital (Dushuhu Public Hospital Affiliated to Soochow University)  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong\u2010dong","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue\u2010song","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010feng","family":"Gan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The First Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2016.06.007"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2015.9.1.133"},{"key":"e_1_2_6_4_1","first-page":"22425","article-title":"Two different surgery approaches for treatment of thoracolumbar fracture","volume":"8","author":"Liu Z","year":"2015","journal-title":"Int J Clin Exp Med"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4908-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.905271"},{"key":"e_1_2_6_7_1","first-page":"76","article-title":"Surgical outcomes of mini\u2010open Wiltse approach and conventional open approach in patients with single\u2010segment thoracolumbar fractures without neurologic injury","volume":"29","author":"Li H","year":"2015","journal-title":"J Biomed 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