Biomechanics and clinical outcome after posterior stabilization of mid-thoracic vertebral body fractures: a systematic literature review.
Ulrich Josef Albert SpieglGeorg OsterhoffPhilipp BulaFrank HartmannMax J ScheyererKlaus J SchnakeBernhard W UllrichPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2020)
High quality studies are lacking. Long-segmental stabilization is indicated in unstable midthoracic fractures with concomitant sternal fractures. Generally, long-segmental constructs seem to be the safer treatment strategy considering the relative high penetration rate of pedicle screws in this region. Thereby, navigated insertion techniques and intraoperative 3D-imaging help to improve pedicle screw placement accuracy.