Spine
-
Meta Analysis
Thoracolumbar Burst Fracture: McCormack Load-Sharing Classification - Systematic Review and Single Arm meta-Analysis.
A systematic review and single-arm meta-analysis of randomized clinical trials. ⋯ Load-sharing scores up to 6 are 100% reliable, only requiring posterior instrumentation for stabilization. For scores >6, the risk of implant breakage and loss of kyphosis correction in posterior fixation alone is low. Thus, other factors should be considered to define the best surgical approach to be adopted.Level of Evidence: 1.