{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T11:31:22Z","timestamp":1769427082067,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82071356"],"award-info":[{"award-number":["82071356"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The revision procedure for failure of internal fixation after thoracolumbar fracture is controversial. Combined anterior and posterior surgery is associated with higher risk more intraoperative bleeding and tissue damage. The success rate of simple anterior surgery needs further confirmation, and posterior surgery lacks stability of internal fixation. This study evaluates the feasibility and surgical effect of multi\u2010rod constructs in the revision of thoracolumbar fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eleven patients with thoracolumbar fractures who underwent previous construct failure and were treated with revision and internal fixation with the multi\u2010rod technique from March 2017 to September 2018 were analyzed. The original internal fixation was removed and replaced in the medial insertion of satellite rods and bone graft. The average follow\u2010up time was 15.97\u2009months. The intraoperation blood loss, the time of the operation, activation and discharge and the rate of rod fracture were calculated. The sagittal Cobb angle before revision, after revision and at the last follow\u2010up were compared. The clinical effect was evaluated by visual analogue scale (VAS) and Oswestry Disability Index questionnaire (ODI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average operation time was 107\u2009min, the intraoperative blood loss was 131.81 mL, the active time was 1.59\u2009days, and the discharge time was 10.89\u2009days. No rod fractured again during the follow\u2010up period.<\/jats:p><jats:p>The paired <jats:italic>t<\/jats:italic>\u2010test was used to compare the Cobb angle, VAS score, and ODI before and after surgery. There was significant difference in the sagittal Cobb angle between the pre\u2010revision and the posterior sagittal position (<jats:italic>p<\/jats:italic>\u2009=\u20090.000), and no significant difference was found between post\u2010revision and last follow\u2010up (<jats:italic>p<\/jats:italic>\u2009=\u20090.551). VAS and ODI were greatly improved at the last follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The literature on revision of thoracolumbar fractures is insufficient and comprises varying opinions. This paper proposes a new treatment option. The application of the multi\u2010rod constructs in the revision of thoracolumbar fractures is safe, simple, and effective and might provide guidance for future clinical work.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14127","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T05:12:51Z","timestamp":1720588371000},"page":"2364-2371","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Application of Multi\u2010Rod Constructs for the Revision of Thoracolumbar Fractures"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0558-2233","authenticated-orcid":false,"given":"Xiangchao","family":"Zeng","sequence":"first","affiliation":[{"name":"Chinese PLA Medical School  Beijing China"},{"name":"Department of Orthopaedics Fourth Medical Center of Chinese PLA General Hospital  Beijing 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