Nonoperative treatment of burst-type thoracolumbar vertebra fractures: clinical and radiological results of 29 patients
作者： Haluk Ağuş , C. Kayalı , M. Arslantaş
DOI: 10.1007/S00586-004-0740-2
关键词:
摘要: The treatment of neurologically intact patients with thoracolumbar burst fractures is still controversial. This study was designed to evaluate the role nonoperative for 29 two- or three-column-injured fractures. Neurologically types A, B and C were treated conservatively divided into groups GI GII, according their column involvement, two three injured columns, respectively. Local kyphosis angle (LKA), anterior posterior vertebral heights (AVH PVH) canal encroachment (CE) examined radiological parameters, while Denis’ s work pain criteria used clinical assessment. Remodeling determining factors correlation between radiology functionality analyzed. deformity that occurred after injury stable in GI, it progressive GII patients. There significant remodeling CE, proportional amount initial CE but not related age parameters. No found functional None had neurological deterioration. Most results satisfactory. As a result, concluded could be an alternative method Denis-types
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