3D Gait Analysis and Electromyography After Instrumented Stabilisation of Thoracolumbar Spine Fractures Comparing Open and Minimally Invasive Surgical Approaches

What this Trial Is About

Researchers are studying patients with fractures in the thoracic or lumbar spine who need surgical stabilization using instrumented posterior methods. The study compares two surgical approaches: a traditional open procedure and a minimally invasive surgery. The goal is to understand potential differences in how patients recover their natural walking ability over time after these surgeries. Participants will be randomly assigned to receive either the open approach or minimally invasive posterior spine stabilization, involving the use of transpedicular screws. The study includes detailed analysis of walking patterns using three-dimensional gait analysis and muscle activity monitoring through electromyography of deep back muscles. These assessments are conducted at several time points, from two weeks up to one year after surgery. During the study, participants will undergo scheduled evaluations where their gait and muscle function are measured to track recovery progress. The main outcome is the Gait Profile Score measured from two weeks to one year after surgery, while electromyography provides additional insight into muscle recovery. The study runs from early 2022 until mid-2026, with ongoing monitoring to assess the effectiveness of each surgical approach in restoring physiological gait.

Three Dimensional Gait Analysis and Electromyography After Stabilisation of Thoracolumbar Spine Fractures Focusing on Possible Temporal Diferences in Physiological Gait Recovery Through Comparison of Open and Minimally Invasive Approaches.