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Study of the consolidation of type B thoracolumbar fractures treated by monosegmental percutaneous osteosynthesis in patients with an ankylosed spine

Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (Q1)
Published
6 October 2026
Study design
Unclassified
Evidence level
Level 5, Expert Opinion (CEBM 5)
Authors
Elise Caron, Insafe Mezjan, Nacer Mansouri, David Masson
PMID
42836971
DOI
10.1007/s00586-026-10389-2

Why clinicians should know about it

  • Picked for Spine Surgery (paper of the day, 10 October 2026): Fusion rates after percutaneous osteosynthesis in ankylosed spine

Abstract

PURPOSE: The objective is to study the rate of fusion of type B thoracolumbar fractures occurring in patients with an ankylosed spine and treated by monosegmental percutaneous osteosynthesis. METHODS: We report 43 patients who underwent a mono-segmental screw fixation in this indication, between January 1, 2018, and December 31, 2023, at the University Hospital of Nancy, with follow up at 3, 6, 9 and 12 months. A CT scan was done at each post operative control and fusion was evaluated. RESULTS: Of the 43 included patients, 41 had complete fusion at 12 months (95%) and 2 (5%) had fractures that did not consolidate. We had not any displacement of screws or rods. 29 men (67%) and 14 women (33%). The average age was 70.6 ± 11.5 years. Hospitalization duration averaged 10.7 ± 9.4 days (range 2-49), with a median of 7 days. Ten patients had medical complications during hospitalization stay (23%). CONCLUSION: Mono-segmental percutaneous osteosynthesis could enable fracture consolidation at 12 months in patients with thoracolumbar type B fractures and had ankylosed spine.

Abstract as published, via PubMed.

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For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.