title: [Comparison between arthrodesis and non-arthrodesis in thoracic and lumbar spine fractures: two-year follow-up].
abstract: BACKGROUND
  The currently accepted treatment of thoracolumbar fractures is reduction, decompression, fixation and arthrodesis. However, it is not the perfect solution due to the medium- and long-term consequences of arthrodesis, which include the wear of the adjacent segments above and below. Some previous studies have proposed the treatment with fixation without arthrodesis. However, there are no reports on the medium- and long-term clinical and radiographic follow-up.
  
  
  METHODS
  Two 20-patient groups treated with transpedicular fixation and decompression, one with and one without posterolateral arthrodesis, were compared.
  
  
  RESULTS
  
  
  
  METHODS
  The mean hospital stay was 5 days. The postoperative visual analog scale pain score was 2-3 in 4 patients; the rest were asymptomatic. The functional Oswestry disability index was 8.3%. The functional economic rehabilitation scale was 4.55. Case group: The mean hospital stay was 5 days. The postoperative visual analog scale pain score was 1-2 in 2 patients; the rest were asymptomatic. The functional Oswestry disability index was 6.3%. The functional economic rehabilitation scale was 6.4.
  
  
  CONCLUSIONS
  Both groups had very similar results. The group without arthrodesis had better results in the Oswestry functional disability scale and the functional economic rehabilitation scale.
authors.affiliation: Servicio de Cirugía de Columna Vertebral, Instituto Nacional de Rehabilitación, Secretaría Salud, DF México.
authors.forename: A
authors.initials: A
authors.lastname: Alpizar-Aguirre
authors.forename: L M
authors.initials: LM
authors.lastname: Riquelme-Molina
authors.forename: B
authors.initials: B
authors.lastname: Zárate-Kalfopulos
authors.forename: G
authors.initials: G
authors.lastname: Sánchez-Bringas
authors.forename: L M
authors.initials: LM
authors.lastname: Rosales-Olivares
authors.forename: A
authors.initials: A
authors.lastname: Reyes-Sánchez
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000601:surgery*; D008297:Male; D016103:Spinal Fractures / Q000601:surgery*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000601:surgery*; D013997:Time Factors