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
- 2019.1
- 수록면
- 700 - 711 (12page)
이용수
초록· 키워드
오류제보하기
Objective : The treatment of multiple thoracolumbar spine fractures according to fracture continuity has rarely been reported. Herein we evaluate the clinical features and outcomes of multiple thoracolumbar fractures depending on continuous or noncontinuous status. Methods : From January 2010 to January 2016, 48 patients with acute thoracic and lumbar multiple fractures who underwent posterior fusion surgery were evaluated. Patients were divided into two groups (group A : continuous; group B : noncontinuous). We investigated the causes of the injuries, the locations of the injuries, the range of fusion levels, and the functional outcomes based on the patients' general characteristics. Results : A total of 48 patients were enrolled (group A : 25 patients; group B : 23 patients). Both groups had similar pre-surgical clinical and radiologic features. The fusion level included three segments (group A : 4; group B : 5) or four segments (group A : 19; group B : 5). Group B required more instrumented segments than did group A. Group A scored 23.5 and group B scored 33.4 on the Korean Oswestry Disability Index (KODI) at the time of last follow-up. In both groups, longer fusion was associated with worse KODI score. Conclusion : In this study, due to the assumption of similar initial clinical and radiologic features in both group, the mechanism of multiple fractures is presumed to be the same between continuous and noncontinuous fractures. The noncontinuous fracture group had worse KODI scores in long-term follow-up, thought to be due to long fusion level. Therefore, we recommend minimizing the number of segments that are fused in multiple thoracolumbar and lumbar fractures when decompression is not necessary.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Calenoff L / 1978 / Multiple level spinal injuries: importance of early recognition / AJR Am J Roentgenol 130:665~669
Chen F / 2017 / Treatment of lumbar split fracture-dislocation with short-segment or long-segment posterior fixation and anterior fusion / Clin Spine Surg 30:E310~E316
Dai LY / 1996 / Multiple non-contiguous injuries of the spine / Injury 27:573~575
Guven O / 2009 / The use of screw at the fracture level in the treatment of thoracolumbar burst fractures / J Spinal Disord Tech 22:417~421
Hebert JS / 2000 / The effect of polytrauma in persons with traumatic spine injury. A prospective database of spine fractures / Spine (Phila Pa 1976) 25:55~60
Chen F / 2017 / Treatment of lumbar split fracture-dislocation with short-segment or long-segment posterior fixation and anterior fusion / Clin Spine Surg 30:E310~E316
Dai LY / 1996 / Multiple non-contiguous injuries of the spine / Injury 27:573~575
Guven O / 2009 / The use of screw at the fracture level in the treatment of thoracolumbar burst fractures / J Spinal Disord Tech 22:417~421
Hebert JS / 2000 / The effect of polytrauma in persons with traumatic spine injury. A prospective database of spine fractures / Spine (Phila Pa 1976) 25:55~60
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