{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:48:57Z","timestamp":1789480137671,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81874022"],"award-info":[{"award-number":["81874022"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82172483"],"award-info":[{"award-number":["82172483"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82102522"],"award-info":[{"award-number":["82102522"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2023YFC2509700"],"award-info":[{"award-number":["2023YFC2509700"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR202102210113"],"award-info":[{"award-number":["ZR202102210113"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Thoracolumbar fractures are one of the most common fractures in clinical practice. Surgical intervention is recommended to restore spinal alignment or decompress the nerves when there are unstable fractures or neurological injuries. However, after excessive forward thrust force restoration, facet joint dislocation often occurs between the upper vertebra and the fractured vertebra, which usually leads to unsatisfactory reduction outcomes. Herein, we propose a novel spinal facet joint toothed plate to assist in fracture reduction. The purpose of this study is to evaluate the effectiveness of the new spinal facet joint toothed plate in preventing facet joint dislocation, and its advantages compared to traditional pedicle screw\u2010rod decompression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 26 patients in the toothed plate group and 93 patients in the traditional group who experienced thoracolumbar fracture with reduction were retrospectively included. Relevant patients' information and clinical parameters were collected. Furthermore, visual analogue scores (VAS) scores and Oswestry disability index (ODI) scores were also collected. Moreover, imaging parameters were calculated based on radiographs. Correlated data were analyzed by <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test and <jats:italic>t<\/jats:italic> test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients in this study had no postoperative complications. Postoperative VAS scores and ODI scores (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were statistically significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) in both groups compared with preoperative scores and further decreased (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) at final follow\u2010up. In addition, the postoperative vertebral margin ratio (VMR) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and vertebral angle of the injured vertebrae (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were significantly improved compared with the preoperative period. There were no significant differences in postoperative VAS scores and ODI scores between the two groups. However, toothed plate reduction significantly improved the VMR (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) and vertebral angle (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) compared with conventional reduction. Ultimately, the total screw accuracy was 98.72% (sum of levels 0 and I), with 100% screw accuracy in the segment related to the tooth plate in the tooth plate group. The dislocation rate was higher in the conventional group (6.45%) than in the new serrated plate repositioning group (0.00%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The facet toothed plate assisted reduction method prevents facet joint dislocation and improves fracture reduction compared to traditional reduction technique, hence it could be considered as a novel surgical strategy for thoracolumbar fracture reduction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14090","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T08:39:50Z","timestamp":1716194390000},"page":"1592-1602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Comparison between Spinal Facet Joint Toothed Plate and Traditional Pedicle Screw\u2010rod on Reduction of Thoracolumbar Fracture"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8766-5499","authenticated-orcid":false,"given":"Cheng","family":"Qiu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Qilu Hospital of Shandong University  Jinan China"},{"name":"Cheeloo College of Medicine, Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Qilu Hospital of Shandong University  Jinan China"},{"name":"Cheeloo College of Medicine, Shandong University  Jinan China"},{"name":"Department of Emergency Medicine Qilu Hospital of Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingwei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Qilu Hospital of Shandong University  Jinan China"},{"name":"Cheeloo College of Medicine, Shandong University  Jinan China"},{"name":"Department of Pediatric Surgery Qilu Hospital of Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiguo","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Qilu Hospital of Shandong University  Jinan China"},{"name":"Department of Orthopedics Shouguang People's Hospital  Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musen","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Huimin County People's Hospital  Binzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyong","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yucheng People's Hospital  Dezhou 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