{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:30:22Z","timestamp":1790303422717,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T00:00:00Z","timestamp":1528416000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 103-2314-B-006-085-MY2, MOST 103-2218-E-006-0"],"award-info":[{"award-number":["MOST 103-2314-B-006-085-MY2, MOST 103-2218-E-006-0"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We assessed our results of short-segment decompression and fixation for osteoporotic thoracolumbar fractures with neurological deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We evaluated 20 elderly patients (age, 60\u201389 years; mean, 73.2 years) with osteoporotic thoracolumbar fractures and neurological deficits. They underwent short-segment decompression and fixation and followed up for 40.6 (range, 24\u201368) months. A visual analog scale (VAS) and the Oswestry Disability Index (ODI) were used to measure back pain and disability. We also analyzed patients\u2019 radiologic findings and neurological status. Perioperative and postoperative complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At the latest follow-up, the average VAS score for back pain and ODI scores had significantly improved. The radiologic assessment showed significant improvements in local kyphosis, anterior vertebral height, and the vertebral wedge angle compared with the original measures. Neurological function also improved in 18 of 20 patients. No major complications occurred perioperatively. Our techniques included preservation of the posterior ligament complex, decortication of facet joints for fusion, no tapping to increase the screw insertional torque, pre-contouring of the rods according to the \u201cadaptive\u201d curve obtained from postural reduction, and postoperative spinal bracing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Posterior short-segment decompression and fixation could be an effective surgical option for osteoporotic thoracolumbar burst fractures with neurological deficits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060518772422","type":"journal-article","created":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T07:37:42Z","timestamp":1528443462000},"page":"3104-3113","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Short-segment decompression and fixation for thoracolumbar osteoporotic fractures with neurological deficits"],"prefix":"10.1177","volume":"46","author":[{"given":"Cheng-Li","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, National Cheng Kung University Hospital, School of Medicine, National Cheng Kung University, Tainan, Taiwan"},{"name":"Medical Device R & D Core Laboratory, National Cheng Kung University Hospital, Tainan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po-Hsin","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing-Jing","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, National Cheng Kung University College of Engineering, Tainan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuo-Yuan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, National Cheng Kung University Hospital, School of Medicine, National Cheng Kung University, Tainan, Taiwan"},{"name":"Medical Device R & D Core Laboratory, National Cheng Kung University Hospital, Tainan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruey-Mo","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tainan Municipal An-Nan Hospital, China Medical University, Tainan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,8]]},"reference":[{"key":"bibr1-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198901000-00024"},{"key":"bibr2-0300060518772422","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199701000-00008"},{"key":"bibr3-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199911150-00011"},{"key":"bibr4-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000211298.59884.24"},{"key":"bibr5-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000149874.61397.38"},{"key":"bibr6-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-006-0106-z"},{"key":"bibr7-0300060518772422","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200305000-00001"},{"key":"bibr8-0300060518772422","doi-asserted-by":"publisher","DOI":"10.3171\/2014.4.FOCUS14159"},{"key":"bibr9-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0310-5"},{"key":"bibr10-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0161-4"},{"key":"bibr11-0300060518772422","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00510"},{"key":"bibr12-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-40"},{"key":"bibr13-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2017.03.004"},{"key":"bibr14-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2759-8"},{"key":"bibr15-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.05.041"},{"key":"bibr16-0300060518772422","doi-asserted-by":"publisher","DOI":"10.3171\/2010.5.SPINE09813"},{"key":"bibr17-0300060518772422","first-page":"65","author":"Denis F.","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"bibr18-0300060518772422","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860060-00013"},{"key":"bibr19-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198009000-00012"},{"key":"bibr20-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.07.050"},{"key":"bibr21-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198503000-00001"},{"key":"bibr22-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000244555.28310.40"},{"key":"bibr23-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B8.28311"},{"key":"bibr24-0300060518772422","doi-asserted-by":"publisher","DOI":"10.3171\/SPI.2008.9.11.466"},{"key":"bibr25-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199311000-00014"},{"key":"bibr26-0300060518772422","first-page":"60","volume":"91","author":"Rajaraman V","year":"1999","journal-title":"J Neurosurg"},{"key":"bibr27-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200005010-00018"},{"key":"bibr28-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.09.004"},{"key":"bibr29-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-9-84"},{"key":"bibr30-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200406010-00010"},{"key":"bibr31-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199208001-00018"},{"key":"bibr32-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31814b2d8e"},{"key":"bibr33-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00024720-200308000-00005"},{"key":"bibr34-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199312000-00017"},{"key":"bibr35-0300060518772422","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3374-z"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060518772422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060518772422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060518772422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:48:58Z","timestamp":1777459738000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060518772422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,8]]},"references-count":35,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1177\/0300060518772422"],"URL":"https:\/\/doi.org\/10.1177\/0300060518772422","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,8]]}}}