{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:30:52Z","timestamp":1790951452821,"version":"4.1.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Scientific Research Foundation project of the Education Department of Yunnan Province","award":["2018FH001-084"],"award-info":[{"award-number":["2018FH001-084"]}]},{"name":"The \u201cTen Thousand People Plan\u201d of Yunnan province-Medical Experts project","award":["2019"],"award-info":[{"award-number":["2019"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A single-institution retrospective study of a cohort of patients who underwent internal fixation spine surgery for thoracolumbar burst fracture (TLBF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To observe the imaging manifestations of intervertebral disc changes in TLBF, to analyze the relationship between the degree of disc injury and the Cobb angle increase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed the data of patients who underwent short-segment pedicle screw instrumentation in the spinal surgery department of a single hospital between January 2014 and December 2017 ( n = 90). According to the magnetic resonance imaging characteristics of the superior intervertebral disc tissue of the injured vertebrae before the operation, the intervertebral disc injury was divided into three types, which was used for group allocation: group A, uninjured intervertebral disc group; group B, mild intervertebral disc injury group; and group C, severe intervertebral disc injury group. The main imaging results of the three groups Cobb, IVA, IHI, AHIV, and VAS were compared among groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety patients were included in the study ( n = 38, 32, and 20, in groups A, B, and C, respectively). There was no statistically significant difference in demographics among the three groups ( p &gt; .05). 1-year post-surgery, the Cobb angle in group C differed significantly from that in groups A and B ( p &lt; .01). There was a significant difference in Cobb angle between groups A and B after internal fixation was removed for 6 months. At 1-year post-surgery, the IHI group C differed significantly from groups A and B ( p &lt; .01), while groups A and B were similar ( p = .102); however, at 6 months after the internal fixation was removed, the IHI differed significantly between these two groups, also the AHIV between groups A and B was statistically significant ( p &lt; .01). The VAS pain score was similar among the three groups. Pearson\u2019s test showed that the increase in the Cobb angle was moderately correlated with IVA and IHI, and weakly correlated with AHIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For TLBF with an intervertebral disc injury, the presurgical degree of intervertebral disc injury is the main reason for the post-surgery increase in the Cobb angle. Thus, diagnosis and treatment of this kind of patient require attention to the risk of spinal deformity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536221088753","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T12:45:25Z","timestamp":1651668325000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Intervertebral disc injury is the mainspring for the postoperative increase in Cobb Angle after thoracolumbar burst fracture"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7567-0143","authenticated-orcid":false,"given":"Zhi","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, the First People\u2019s Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Key Laboratory of Digital Orthopaedics of Yunnan Province, Kunming, China"},{"name":"Graduate School of Kunming Medical University, 1168, Chunrongxi Road, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongfeng","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolin","family":"Kuang","sequence":"additional","affiliation":[{"name":"The 1st Department of Hepatic Diseases, People\u2019s Hospital of Kunming City, 319 Wujing Road, Kunming, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, the First People\u2019s Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Key Laboratory of Digital Orthopaedics of Yunnan Province, Kunming, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yushan","family":"Ruan","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The 1st Affiliated Hospital of Dali University, Dali, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuan","family":"Li","sequence":"additional","affiliation":[{"name":"Graduate School of Kunming Medical University, 1168, Chunrongxi Road, Kunming, Yunnan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaobo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The 1st Affiliated Hospital of Dali University, Dali, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, the First People\u2019s Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Key Laboratory of Digital Orthopaedics of Yunnan Province, Kunming, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"key":"bibr1-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2016.06.019"},{"key":"bibr2-10225536221088753","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2017.9.4.465"},{"key":"bibr3-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318189fcfd"},{"key":"bibr4-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(02)00368-6"},{"key":"bibr5-10225536221088753","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20100429-24"},{"issue":"3","key":"bibr6-10225536221088753","first-page":"1","volume":"39","author":"McDonnell M","year":"2016","journal-title":"Orthopedics J"},{"key":"bibr7-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2013.09.010"},{"issue":"13","key":"bibr8-10225536221088753","first-page":"8","volume":"66","author":"Aono H","year":"2019","journal-title":"Clin Neurosci J"},{"key":"bibr9-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-40"},{"key":"bibr10-10225536221088753","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2016(06)02"},{"key":"bibr11-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-018-5963-4"},{"key":"bibr12-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1913-4"},{"key":"bibr13-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.12.011"},{"key":"bibr14-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1007\/s002560050542"},{"key":"bibr15-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2020.08.004"},{"issue":"2","key":"bibr16-10225536221088753","doi-asserted-by":"crossref","first-page":"e1005","DOI":"10.1002\/jsp2.1005","volume":"1","author":"Beekmans SV","year":"2018","journal-title":"JOR Spine J"},{"key":"bibr17-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2017.02.010"},{"key":"bibr18-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ken396"},{"key":"bibr19-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1111\/joa.12022"},{"key":"bibr20-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucir.2012.03.002"},{"key":"bibr21-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199312000-00011"},{"key":"bibr22-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-200002000-00006"},{"key":"bibr23-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2015.11.004"},{"key":"bibr24-10225536221088753","doi-asserted-by":"publisher","DOI":"10.22203\/eCM.v019a02"},{"key":"bibr25-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20691"},{"key":"bibr26-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20601"},{"key":"bibr27-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1007\/s005860050175"},{"key":"bibr28-10225536221088753","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00510"},{"key":"bibr29-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4687-x"},{"issue":"6","key":"bibr30-10225536221088753","first-page":"1","volume":"40","author":"Chen JX","year":"2016","journal-title":"Int Orthop J"},{"issue":"1","key":"bibr31-10225536221088753","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-015-0454-0","volume":"16","author":"Akeda K","year":"2015","journal-title":"BMC Musculoskel Disord J"},{"key":"bibr32-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2010.10.009"},{"issue":"4","key":"bibr33-10225536221088753","first-page":"RC04","volume":"11","author":"Padalkar P","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"bibr34-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.07.048"},{"key":"bibr35-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-002-0084-8"},{"issue":"4","key":"bibr36-10225536221088753","volume":"34","author":"Zook J","year":"2011","journal-title":"J Orthopedics"},{"key":"bibr37-10225536221088753","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000224167.18483.14"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536221088753","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536221088753","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536221088753","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:29:01Z","timestamp":1777678141000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536221088753"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1177\/10225536221088753"],"URL":"https:\/\/doi.org\/10.1177\/10225536221088753","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]},"article-number":"10225536221088753"}}