{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:21:43Z","timestamp":1791411703146,"version":"4.3.3"},"reference-count":23,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The thoracolumbar junction (TLJ) represents a transition zone of the spine that leads to a high incidence of fractures. The treatment of burst fractures remains controversial regarding the ideal management. This study assessed the postoperative radiological outcome of TLJ fixation in patients with TLJ injuries who underwent surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>All traumatic patients with TLJ injuries who were referred to the Khatam hospital of Zahedan between 2015 and 2020, with their thoracolumbar injury classification and severity score (TLICS) of four or more and who underwent surgery, were included in this study. The patients who entered the study were called for a follow-up examination. The degree of kyphosis, proximal junctional kyphosis, and fusion were assessed in these patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>Among 273 patients, the average age was 43.5 \u00b1 12.3 (21\u201373) years. One hundred and ninety-eight patients (72.5%) had no neurological symptoms at admission. Based on the above criteria, the kyphosis angle of these patients was calculated before surgery, which in 46 patients (16.8%), the kyphosis angle was more than 25\u00b0. Preoperation kyphosis was significantly associated with follow-up kyphosis (<jats:italic>P<\/jats:italic> &lt; 0.001). Evidence of no fusion was also observed in 22 patients (8.1%). According to the Chi-square test, no association was observed between preoperative kyphosis and postoperative complications, including PJK and fusion (<jats:italic>P<\/jats:italic> &gt; 0.05).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>According to our study, the posterior spinal fixation procedure is a low-complication method with an acceptable radiological outcome. Although kyphosis before surgery is a factor in developing long-term kyphosis, it is not associated with nonfusion and PJK.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_46_2022","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T12:57:19Z","timestamp":1661518639000},"page":"376","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Radiological outcome of operative treatment with posterior approach in patients with thoracolumbar junction traumatic injuries: A single-center pilot study in a developing country"],"prefix":"10.25259","volume":"13","author":[{"given":"Mohammad","family":"Safdari","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Zahedan University of Medical Sciences, Zahedan, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohre","family":"Safdari","sequence":"additional","affiliation":[{"name":"Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masoud","family":"Pishjoo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirous","family":"Seifirad","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Medicine, Islamic Azad University, Mashhad, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Kheradmand","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajjad","family":"Saghebdoust","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Razavi Hospital, Mashhad, Iran."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"10.25259\/SNI_46_2022\/ref-1","doi-asserted-by":"crossref","first-page":"2170","DOI":"10.1097\/00007632-199609150-00022","article-title":"Functional outcome of thoracolumbar burst fractures managed with hyperextension casting or bracing and early mobilization","volume":"21","author":"Chow","year":"1996","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_46_2022\/ref-2","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1097\/01.TA.0000035089.51187.43","article-title":"Thoracolumbar fractures in patients with multiple injuries: Diagnosis and treatment-a review of 147 cases","volume":"56","author":"Dai","year":"2004","journal-title":"J Trauma"},{"key":"10.25259\/SNI_46_2022\/ref-3","doi-asserted-by":"crossref","first-page":"107061","DOI":"10.1016\/j.clineuro.2021.107061","article-title":"Outcomes of anterior vs posterior approach to single-level lumbar spinal fusion with interbody device: An analysis of the nationwide inpatient sample","volume":"212","author":"De Stefano","year":"2022","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_46_2022\/ref-4","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/00003086-198410000-00016","article-title":"Burst fractures of the thoracic and lumbar spine","volume":"189","author":"DeWald","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"10.25259\/SNI_46_2022\/ref-5","doi-asserted-by":"crossref","first-page":"2991","DOI":"10.1007\/s00701-021-05000-0","article-title":"Is there a variance in complication types associated with ALIF approaches? 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