Technical description reveals improved outcomes in patients with thoracolumbar burst fractures and neurological deficits, suggesting effective intervention strategies.
Modified SPSA combining the Wiltse interval and midline spinous process splitting appears feasible for achieving decompression, reduction, and fixation while preserving posterior structures in selected patients with thoracolumbar burst fractures and neurological deficits. Larger prospective comparative studies are required to confirm long-term efficacy and define optimal patient selection criteria.
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Chen et al. (2026) studied this question.
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