{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T20:34:28Z","timestamp":1773693268849,"version":"3.50.1"},"reference-count":26,"publisher":"Scientific Scholar","content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Objectives:<\/jats:title>\n<jats:p>The treatment options for thoracolumbar junction burst fractures remain a topic of controversy. Short-segment percutaneous fixation (SSPF) and short-segment open fixation including the fractured level (SSOFIFL) are both viable procedures for managing these fractures. At present, there is a lack of evidence in the literature demonstrating the absolute superiority of one treatment over the other. This study aimed to compare these two surgical strategies with a focus on radiological and clinical outcomes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Materials and Methods:<\/jats:title>\n<jats:p>This retrospective case\u2013control multicenter analysis involved patients with A3 and A4 vertebral fractures at the thoracolumbar junction (T11\u2013L2) who underwent surgical treatment with either SSPF or SSOFIFL in the participating centers. Clinical outcomes were measured using the Oswestry Disability Index and visual analogue scale (VAS) both pre- and postoperatively. Radiological outcomes included kyphotic deformity (KD), anterior vertebral body height (AVBH), segmental kyphosis, and sagittal alignment parameters.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results:<\/jats:title>\n<jats:p>A total of 156 patients were enrolled in the study, with 81 patients in Group A (SSPF) and 75 patients in Group B (SSOFIFL). Group B demonstrated better correction of KD (Group B: 3.4 \u00b1 2.7\u00b0 vs. Group A: 8.3 \u00b1 3.2\u00b0, <jats:italic>P<\/jats:italic> = 0.003), AVBH, and sagittal alignment. A minor loss of correction was observed in Group B with respect to Group A (0.9 \u00b1 1.7\u00b0 vs 4.3\u00b0 \u00b1 2.1\u00b0, <jats:italic>P<\/jats:italic> = 0.043). Blood losses were lower in Group A (78 \u00b1 15 min vs. 118 \u00b1 23 min, <jats:italic>P<\/jats:italic> = 0.021) as well as during surgery (121.3 \u00b1 34 mL vs. 210.2 \u00b1 52 mL, <jats:italic>P<\/jats:italic> = 0.031), but the post-operative hemoglobin levels were comparable between the two groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>SSOFIFL appears to show a major amount of KD correction and prevent loss of correction. This technique should be the preferred choice whenever possible. However, SSPF can be considered a valid alternative for damage control in polytrauma patients and fractures with low KD.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/jnrp_370_2023","type":"journal-article","created":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T11:51:03Z","timestamp":1695037863000},"page":"34-41","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Short-segment percutaneous fusion versus open posterior fusion with screw in the fractured vertebra for thoracolumbar junction burst vertebral fracture treatment"],"prefix":"10.25259","volume":"15","author":[{"given":"Andrea","family":"Perna","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Fondazione Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Franchini","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari \u201cAldo Moro,\u201d, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco Lucio","family":"Gorgoglione","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Fondazione Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felice","family":"Barletta","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Fondazione Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biagio","family":"Moretti","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari \u201cAldo Moro,\u201d, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Piazzolla","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari \u201cAldo Moro,\u201d, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Beatrice","family":"Bocchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Fondazione Policlinico Universitario A. 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