Retrospective analysis of clinical and radiological outcomes of thoracolumbar vertebral fractures treated with monoplanar pedicle screws compared with fixed-axis and polyaxial screws
Monoplanar pedicle screws, combining coronal mobility for minimally invasive placement and sagittal rigidity for stability, reduce blood loss and operative time compared to fixed-axis screws while maintaining comparable correction retention to polyaxial screws. These findings position monoplanar screws as a balanced option for thoracolumbar fracture fixation, optimizing minimally invasive benefits without compromising mechanical strength.
Authors
- Bin Tian (ORCID: https://orcid.org/0000-0002-2608-3380)
- Le Chang (ORCID: https://orcid.org/0000-0002-5764-286X)
- Weili Duan (ORCID: https://orcid.org/0000-0002-1503-8066)
- Zhengxu Ye
- Xin Zhao (ORCID: https://orcid.org/0000-0002-1276-5858)
- Jun Zhang (ORCID: https://orcid.org/0000-0003-3607-213X)
- Kangwei Lai
- Zhen Sun (ORCID: https://orcid.org/0000-0003-3901-6950)
Institutions
- Xi'an Medical University (CN)
- Xijing Hospital (CN)
- Air Force Medical University (CN)
Publication Details
- Journal
- Frontiers in Medicine
- Published
- 2025-07-24
- DOI
- https://doi.org/10.3389/fmed.2025.1605583
- Citations
- 1
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 2.01
Funders
- Fourth Military Medical University