{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T05:45:05Z","timestamp":1782625505617,"version":"3.54.5"},"reference-count":31,"publisher":"Pensoft Publishers","issue":"6","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p>\n                    \ufeff\n                    <jats:bold>Abstract<\/jats:bold>\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Introduction<\/jats:bold>\n                    : The lumbar and thoracic spine sustain 90% of all spinal fractures. There is ongoing discussion regarding the most effective treatment for thoracolumbar burst fractures. Clinical results of long-segment and short-segment posterior stabilization are contrasted in this research.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Materials and methods<\/jats:bold>\n                    : There were thirty patients in total; fifteen underwent short-segment stabilization, and fifteen underwent long-segment stabilization. All patients were assessed and treated according to the advanced trauma life support (ATLS) protocol. Mobilization was started as tolerated. Postoperative X-rays were taken, and follow-up occurred monthly for six months, then every two months thereafter up to one year. Functional outcomes were determined by employing the ASIA impairment scale and VAS scores.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : Long-segment group operating times were 136.1\u00b111.31 and 79.4\u00b111.7 minutes, respectively, substantially longer than those of short-segment groups (\n                    <jats:italic>p<\/jats:italic>\n                    &amp;lt;0.05). In comparison to short-segment groups, long-segment groups experienced a statistically significant greater blood loss of 1263.3\u00b1151.74 and 876.7\u00b1189.8 ml, respectively (\n                    <jats:italic>p<\/jats:italic>\n                    &amp;lt;0.05). The ASIA impairment scale measurement, change in Beck\u2019s index, and kyphotic angle were statistically insignificant among both groups. In the long-segment group, most patients had a Denis pain scale score of P2 (40%) and a Denis work scale score of W3 (46.7%), but in the short-segment group, most patients had scores of P3 (60%) and W4 (46.7%). We encountered no major complications.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    : While long-segment fixation provides greater stability, short-segment fixation results in less operative time and blood loss without compromising clinical outcomes. Longer follow-up studies with larger sample sizes are recommended.\n                  <\/jats:p>","DOI":"10.3897\/folmed.67.e157804","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T09:47:19Z","timestamp":1766051239000},"source":"Crossref","is-referenced-by-count":1,"title":["A comparative analysis of the management of thoracolumbar burst fractures: short-segment posterior stabilization versus long-segment posterior instrumentation"],"prefix":"10.3897","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3060-8583","authenticated-orcid":true,"given":"Muthukumaran Sai Deiv","family":"Ramkumar","sequence":"first","affiliation":[{"name":"Saveetha Institute of Medical and Technical Sciences, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8946-4300","authenticated-orcid":true,"given":"Benjamin","family":"Vinodh J","sequence":"additional","affiliation":[{"name":"Saveetha Institute of Medical and Technical Sciences, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2063-1110","authenticated-orcid":true,"given":"Tarunprasad","family":"Raghuraman","sequence":"additional","affiliation":[{"name":"Saveetha Institute of Medical and Technical Sciences, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5316-2906","authenticated-orcid":true,"given":"Arun Kumar","family":"Chandhuru","sequence":"additional","affiliation":[{"name":"Saveetha Institute of Medical and Technical Sciences, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2258","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"157804_B1","doi-asserted-by":"crossref","unstructured":"1. 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Kim HS, Lee SY, Nanda A, et al. Comparison of surgical outcomes in thoracolumbar fractures operated with posterior constructs having varying fixation length with selective anterior fusion. Yonsei Med J 2009; 50(4):546\u201354.","DOI":"10.3349\/ymj.2009.50.4.546"},{"key":"157804_B27","doi-asserted-by":"crossref","unstructured":"27. Chiba M, McLain RF, Yerby SA, et al. Short-segment pedicle instrumentation: biomechanical analysis of supplemental hook fixation. Spine 1996; 21(3):288\u201394.","DOI":"10.1097\/00007632-199602010-00006"},{"key":"157804_B28","doi-asserted-by":"crossref","unstructured":"28. Dick JC, Zdeblick TA, Bartel BD, et al. Mechanical evaluation of cross-link designs in rigid pedicle screw systems. Spine 2000; 25(6S):13S\u20138S.","DOI":"10.1097\/00007632-200003151-00002"},{"key":"157804_B29","doi-asserted-by":"crossref","unstructured":"29. Lynn G, Mukherjee DP, Kruse RN, et al. Mechanical stability of thoracolumbar pedicle screw fixation: the effect of crosslinks. 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