{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:03:42Z","timestamp":1789995822214,"version":"4.0.1"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lower lumbar (L3\u2013L5) burst fractures are uncommon injuries with distinct clinical and biomechanical characteristics. We evaluated injury patterns, surgical management, and outcomes in patients treated at a single center and performed a systematic review and meta-analysis to assess neurological and functional outcomes reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed surgically treated L3\u2013L5 burst fractures between January 2015 and July 2022. A Preferred Reporting Items for Systematic Reviews and Meta-analyses-compliant systematic review of studies published from January 1993 to January 2026 was conducted using PubMed, Google Scholar, and the Cochrane Library.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighteen patients (mean age: 28.1 \u00b1 9.1 years; 77.8% male) were included. Falls from height were the most common mechanism (61.1%), with L4 most frequently involved (61.1%). All fractures were AO Spine Type A (61.1% A3; 38.9% A4); 50% had posterior column injury, and 61.1% had Thoracolumbar Injury Classification and Severity Score \u22655. Preoperatively, 55.5% had neurological deficits and 27.8% had bowel\/bladder dysfunction. All underwent posterior spinal instrumentation and fixation; 66.7% received long-segment fixation, 33.3% short-segment fixation, and 27.8% corpectomy with anterior column reconstruction. Surgery significantly improved vertebral body height, sagittal alignment, and canal diameter. At a mean follow-up of 3.8 years, 66.7% achieved ASIA Grade E, with no neurological deterioration. Complications occurred in 11.1% and 94.4% reported minimal disability (Oswestry Disability Index). Meta-analysis of 16 studies (248 patients) demonstrated pooled neurological improvement of 53% (95% confidence interval [CI], 0.25\u20130.79) and return-to-work (RTW) of 85% (95% CI, 0.76\u20130.91).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical treatment produced favorable radiological and functional outcomes, with neurological improvement in 53% of patients and an 85% RTW rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_208_26","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:00:32Z","timestamp":1789750832000},"page":"560-569","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management and outcomes analysis of lower lumbar (L3\u2013L5) burst fractures: A single-center experience and meta-analysis"],"prefix":"10.4103","volume":"17","author":[{"given":"Sandeep","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhisha","family":"Sadhwani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanwaljeet","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"},{"name":"Department of Neurosurgery, Washington University, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. D.","family":"Satyarthee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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