title: Two-year follow-up evaluation of surgical treatment for thoracolumbar fracture-dislocation.
abstract: METHODS
  A randomized, controlled clinical trial.
  
  
  OBJECTIVE
  This randomized controlled clinical trial was aimed at comparing the clinical outcomes of combined posteroanterior (P-A) fusion and transforaminal thoracic interbody fusion (TTIF) in cases of thoracolumbar fracture-dislocation.
  
  
  BACKGROUND
  The optimal treatment strategy for thoracolumbar fracture-dislocation remains controversial.
  
  
  METHODS
  Sixty-one patients presenting with acute fracture-dislocation of the thoracolumbar joint between March 2010 and December 2011 were enrolled and randomly assigned to the P-A or TTIF group. The radiological outcome was assessed by acquiring radiographs in the standing position and computed tomographic scans. The clinical outcome was measured in terms of the American Spinal Injury Association score, visual analogue scale score, and Oswestry Disability Index. Moreover, we assessed the severity of overall morbidity and morbidity at the donor site in the 2 patient groups. The Student t and χ tests were used for the analysis of independent variables and categorical data, respectively.
  
  
  RESULTS
  Only 57 of the enrolled patients were available for the required 24-month follow-up period, 27 underwent TTIF and 30 underwent P-A fusion. Both treatments were similar with respect to the fusion rate, extent of decompression, loss of correction, rate of instrumentation failure, American Spinal Injury Association score, visual analogue scale score, and Oswestry Disability Index (P > 0.05). However, the blood loss, operating time, and rate of perioperative complications were greater in the P-A group than in the TTIF group (P < 0.05).
  
  
  CONCLUSIONS
  The clinical and radiological outcomes were similar for both the treatment procedures. However, our findings suggest that TTIF allows for safe interbody fusion and circumferential decompression, requires only a posterior approach, and is associated with a lower incidence of surgery-related complications.
  
  
  METHODS
  2.
authors: *Department of Spine Surgery, Hong Hui Hospital, Xi'an Jiaotong University College of Medicine, Shan'xi Province, China; and †Department of General Surgery, The 417th Hospital, China National Nuclear Corporation (CNNC), Xi'an, Shan'xi Province, China.
authors: Dingjun
authors: D
authors: Hao
authors: Wentao
authors: W
authors: Wang
authors: Kun
authors: K
authors: Duan
authors: Minjie
authors: M
authors: Ma
authors: Yong
authors: Y
authors: Jiang
authors: Tuanjiang
authors: T
authors: Liu
authors: Baorong
authors: B
authors: He
mesh_terms: D000328:Adult; D001696:Biomechanical Phenomena; D016063:Blood Loss, Surgical; D016009:Chi-Square Distribution; D002681:China; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007738:Kyphosis / Q000503:physiopathology / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D056888:Patient Positioning; D011183:Postoperative Complications / Q000209:etiology; D011237:Predictive Value of Tests; D020127:Recovery of Function; D012307:Risk Factors; D016103:Spinal Fractures / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome