개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 715 - 719 (5page)
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초록· 키워드
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Purpose: Although Denis classification is considered as one of most clinically useful schemes for the evaluation of spinal fracture, there is little documentation on the relationship between fracture pattern and the neurologic recovery. The purpose is to evaluate the correlation between the fracture patterns according to Denis classification and neurologic recovery. Materials and Methods: The 38 patients (26 men and 12 women) in this series had an average follow-up of 47.1 months, and they were all managed surgically. Denis classification had been used prospectively to determine the fracture morphology. Frankel Scale and American Spinal Injury Association Spinal Cord Injury Assessment Form [American Spinal Injury Association (ASIA) score] were obtained before surgery, after surgery and at the final follow-up. Results: The common injuries making neurologic deterioration were burst fracture and fracture-dislocation. The degree of neurologic deficits seen first and at the final follow-up was more severe in fracture-dislocation than burst fracture. The neurologic recovery was not different between burst fracture and fracture-dislocation, assessed by Frankel grading and ASIA scoring system. The neurologic recovery evaluated by ASIA score was not different between the lumbar and thoracic spinal fracture. The neurologic recovery assessed by Frankel grade was greater in the lumbar spinal fractures in than the thoracic spinal fractures.
Conclusion: The severity of initial and the final follow-up neurologic deficits were correlated with the fracture patterns according to Denis classification, but the neurologic recovery was not correlated.
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참고문헌 (22)
참고문헌 신청
/ 1992 / Standard for neurologic and functional class of spinal cord injury / American Spinal Injury Association
Bedbrook GM / 1975 / Treatment of thoracolumbar dislocation and fractures with paraplegia / Clin Orthop Relat Res 1975 : 27 ~ 43
Bohlman HH / 1999 / Spine and spinal cord injuries, In The spine / W.B. Saunders company : 889 ~ 1002
Bravo P / 1996 / An assessment of factors affecting neurological recovery after spinal cord injury with vertebral fracture / Paraplegia 34 : 164 ~ 166
Carl AL / 1992 / Pedicle screw instrumentation for thoracolumbar burst fractures and fracture-dislocations / Spine 17 (8) : S317 ~ S324
Bedbrook GM / 1975 / Treatment of thoracolumbar dislocation and fractures with paraplegia / Clin Orthop Relat Res 1975 : 27 ~ 43
Bohlman HH / 1999 / Spine and spinal cord injuries, In The spine / W.B. Saunders company : 889 ~ 1002
Bravo P / 1996 / An assessment of factors affecting neurological recovery after spinal cord injury with vertebral fracture / Paraplegia 34 : 164 ~ 166
Carl AL / 1992 / Pedicle screw instrumentation for thoracolumbar burst fractures and fracture-dislocations / Spine 17 (8) : S317 ~ S324
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