Radiological outcomes of unstable thoraco-lumbar fractures without neurological deficit treated through percutaneous surgery

作者: Rafael Lorente , Alejandro Lorente , Bárbara Rosa , Pablo Palacios , Carlos Barrios

DOI: 10.1016/J.NEUCIE.2017.12.006

关键词: Percutaneous surgeryKyphosisDisplacement (orthopedic surgery)SurgeryPercutaneousRadiological weaponSagittal planeLumbarNeurological deficitMedicine

摘要: Abstract Objective To analyse the radiological outcomes in long term of unstable thoracic and lumbar fractures treated through percutaneous surgery. Material methods Retrospective review a series patients with minimally invasive surgery between 2010 2015 three different hospital centres. Six parameters were measured annually during 2-year period: Fracture angle, kyphotic deformity, sagittal index, percentage compression, degree displacement deformation angle. Results A total 37 included median age 41.3 years follow-up period 2.2 years. angle rose from 14.8 to 17.1 (increase 15.54%), deformity 15.9 17.7 11.32%), index 10.1 12.3 21.78%), compression 32.7% 36.8% 12.53%), 3.0 mm 4.4 mm 50%) 20.7 22.9 10.62%). Conclusions All studied lost correction throughout 24 months follow-up; most marked. Nevertheless, greatest loss occurred first postoperative year, then stabilised over follow up. We routinely recommend measurement all previous for up

参考文章(29)
Ambrose W Y Yung, Paul L K Thng, Radiological outcome of short segment posterior stabilisation and fusion in thoracolumbar spine acute fracture. Annals Academy of Medicine Singapore. ,vol. 40, pp. 140- 144 ,(2011)
P C McAfee, H A Yuan, B E Fredrickson, J P Lubicky, The value of computed tomography in thoracolumbar fractures. An analysis of one hundred consecutive cases and a new classification. Journal of Bone and Joint Surgery, American Volume. ,vol. 65, pp. 461- 473 ,(1983) , 10.2106/00004623-198365040-00006
J H Dickson, P R Harrington, W D Erwin, Results of reduction and stabilization of the severely fractured thoracic and lumbar spine. Journal of Bone and Joint Surgery, American Volume. ,vol. 60, pp. 799- 805 ,(1978) , 10.2106/00004623-197860060-00013
Michael C. Fu, Venu M. Nemani, Todd J. Albert, Operative Treatment of Thoracolumbar Burst Fractures: Is Fusion Necessary? HSS Journal ®. ,vol. 11, pp. 187- 189 ,(2015) , 10.1007/S11420-015-9439-7
K. WOOD, G. BUTTERMAN, A. MEHBOD, T. GARVEY, R. JHANJEE, V. SECHRIEST, Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study. Journal of Bone and Joint Surgery, American Volume. ,vol. 85, pp. 773- 781 ,(2003) , 10.2106/00004623-200305000-00001
Yong-Min Kim, Dong-Soo Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho, Jae-Jung Jeong, Young-Chan Cha, Ji-Kang Park, Nonfusion method in thoracolumbar and lumbar spinal fractures. Spine. ,vol. 36, pp. 170- 176 ,(2011) , 10.1097/BRS.0B013E3181CD59D1
Andrew J. Grossbach, Nader S. Dahdaleh, Taylor J. Abel, Gregory D. Woods, Brian J. Dlouhy, Patrick W. Hitchon, Flexion-distraction injuries of the thoracolumbar spine: open fusion versus percutaneous pedicle screw fixation. Neurosurgical Focus. ,vol. 35, ,(2013) , 10.3171/2013.6.FOCUS13176
Byung-Guk Kim, Jin-Myoung Dan, Dong-Eun Shin, Treatment of Thoracolumbar Fracture Asian Spine Journal. ,vol. 9, pp. 133- 146 ,(2015) , 10.4184/ASJ.2015.9.1.133