{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T05:11:31Z","timestamp":1733548291958,"version":"3.30.1"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The goal of this study was to evaluate the feasibility of the fractured vertebra antedisplacement reconstruction technique for the treatment of posttraumatic thoracolumbar kyphosis (PTK).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A total of 22 patients with PTK who were treated with the fractured vertebra antedisplacement reconstruction technique were retrospectively analyzed. The radiological evaluation included global kyphosis, thoracolumbar angle, and sagittal vertical axis. The clinical evaluation included visual analog scale pain score, Oswestry Disability Index score, SF-12 Health Survey score, and American Spinal Injury Association grade. The complications were recorded.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>The mean global kyphosis was 55.0\u00b0 \u00b1 12.6\u00b0 preoperatively, 8.5\u00b0 \u00b1 5.0\u00b0 postoperatively, and 10.3\u00b0 \u00b1 4.8\u00b0 at the latest follow-up (p &lt; 0.001). The average total kyphosis correction achieved was 44.7\u00b0 \u00b1 14.2\u00b0, with a range of 23.4\u00b0\u201379.4\u00b0, indicating a mean final correction of 80.1%. The mean thoracolumbar angle was 46.2\u00b0 \u00b1 13.2\u00b0 preoperatively, 6.6\u00b0 \u00b1 4.5\u00b0 postoperatively, and 7.6\u00b0 \u00b1 4.2\u00b0 at the latest follow-up (p &lt; 0.001). The mean sagittal vertical axis was improved significantly, from 51.1 \u00b1 24.2 mm preoperatively to 28.5 \u00b1 17.4 mm at the latest follow-up (p = 0.001). One patient (4.5%) experienced single intervertebral fusion nonunion, and 1 patient (4.5%) experienced distal screw loosening. No patients experienced any neurological deterioration. The visual analog scale pain score, Oswestry Disability Index score, SF-12 Health Survey score, and American Spinal Injury Association grade achieved significant improvement at the latest follow-up.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Fractured vertebra antedisplacement reconstruction technique can effectively correct kyphosis, reconstruct spinal stability, and improve the patient\u2019s symptoms and neurological function. This technique is safer, minimally traumatic, and less technically demanding to avoid osteotomy-related complications. It is a feasible treatment choice for PTK.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.3.spine231174","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T01:44:11Z","timestamp":1716601451000},"page":"254-262","source":"Crossref","is-referenced-by-count":0,"title":["Fractured vertebra antedisplacement reconstruction technique: a feasible treatment choice for posttraumatic thoracolumbar kyphosis"],"prefix":"10.3171","volume":"41","author":[{"given":"Tao","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanxi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Xi\u2019an Jiaotong University Honghui Hospital, Xi\u2019an, Shanxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huang","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"24 Suppl","key":"b1","series-title":"Spine (Phila Pa 1976)","first-page":"S111","article-title":"Post-traumatic spinal deformity","volume":"26","author":"Vaccaro AR","year":"2001","unstructured":"Vaccaro AR, Silber JS. 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