Incomplete (A3) versus complete (A4) thoracolumbar burst fractures: results from a prospective international multicenter cohort study
Patients with A3 and A4 fractures had similar odds to reach MCID in ODI score at 1 year. Even when exclusively considering the nonoperative cohort of patients who sustained A4 fractures with perceived increased biomechanical stability, there was no difference in functional improvement compared to patients with A3 fractures. Further large prospective multicenter studies are required to specifically assess radiographic outcomes and compare surgical approaches in the management of A3 and A4 fractures.
Authors
- Hauri Dimitri
- Sebastian F. Bigdon (ORCID: https://orcid.org/0000-0002-4649-0610)
- C. Dandurand
- Miguel Hirschfeld (ORCID: https://orcid.org/0000-0002-4053-6753)
- Andrei Fernandes Joaquim (ORCID: https://orcid.org/0000-0003-2645-0483)
- Klaus John Schnake (ORCID: https://orcid.org/0000-0003-3118-0924)
- Mohammad Mostafa El-Sharkawi (ORCID: https://orcid.org/0000-0001-6177-7145)
- Jérôme Paquet
- LM Benneker
- Spyridon G. Pneumaticos
- Richard J Bransford
- F Cumhur Oner
- Ulrich Spiegl
- Barry T S Kweh
- William F Lavelle
- Gregory D Schroeder
- R Todd Allen
- Harvinder S Chhabra
- Shanmuganathan Rajasekaran
- Jin W Tee
- John France
- Eugen C Popescu
- Alexander R Vaccaro
Institutions
- West Virginia University (US)
- The Royal Melbourne Hospital (AU)
- University of British Columbia (CA)
- Université du Québec à Montréal (CA)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- SUNY Upstate Medical University (US)
- Clinical Emergency Hospital Bucharest (RO)
- University Hospital of Bern (CH)
- The Alfred Hospital (AU)
- Harborview Medical Center (US)
- Vancouver General Hospital (CA)
- University Medical Center Utrecht (NL)
- University of California San Diego (US)
- Hospital Costa del Sol (ES)
- Schön Klinik München Harlaching (DE)
- Malteser Waldkrankenhaus Erlangen (DE)
- Paracelsus Medizinische Privatuniversität (DE)
- Knowledge Foundation (SE)
- Clinica de Pneumologie Iaşi (RO)
- München Klinik Harlaching (DE)
- Klinik Sonnenhof (CH)
- National Trauma Research Institute (AU)
- Rothman Institute (US)
- Ganga Hospital (IN)
- KAT General Hospital of Attica (GR)
- Amsterdam University Medical Centers (NL)
- Université Laval (CA)
- Institute of Medical Sciences (IN)
- Monash University (AU)
- Assiut University (EG)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-12-12
- DOI
- https://doi.org/10.3171/2025.7.spine25285
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00