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. 2018 Mar;18(1):62–70.

Table 1.

Studies comparing minimally invasive with conventionally open dorsal pedicle screw fixation in patients with traumatic thoracolumbar fractures.

Authors, Year Reference No Study design Level of Evidence AO Classification Level of fracture Neurological deficit Number Segment stabilized Sample size Assessment Follow-up months ±SD (range) Findings
Cawley et al. 2014 [63] non-randomized prospective comparative LoE III A3 L1-L5 no bi- or multisegmental 12 Needle EMG USI LM CSA minimum 6 MIS: 25±12 CO: 12±5 more pronounced denervation in CO vs. MIS significant at adjacent levels
Grass et al. 2006 [66] non-randomized prospective controlled clinical trial LoE IIa A2/A3/B1/B2 T12-L4 no information mono- or bisegmental 57 Needle EMG 8.3 (4-18) polyphasic potentials = drop-out of numerous motor units MIS < 20% vs. CO > 80%
Wild et al. 2007 [9] non-randomized retrospective case control study LoE III A1/A2/A3 T12-L2 no no information 21 Hannover Spine Score SF-36 67.9±8 (54-85) MIS better Outcome CO in all dimensions but no significant differences
Ntilikina et al. 2017 [16] non-random. retrospective comparative LoE III A2/A3/B1/B2 T7-L5 no no information 92 MRI: CSA & signal intensity 12 Significant bigger CSA in the MIS group compared to CO

SD= standard deviation, MIS minimally invasive stabilization, CO conventionally open, USI= Ultrasound Imaging, EMG= Electromyography, LM= lumbar multifidus muscle, CSA= cross sectional area, SF-36= Short Form Health survey, LoE= Level of Evidence.