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논문 기본 정보

자료유형
학술저널
저자정보
Jimmy Jyotinbhai Chokshi (Civil Hospital Ahmedabad India) Manish Shah (Government Spine Institute Ahmedabad India)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.1
발행연도
2019.1
수록면
56 - 60 (5page)

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Study Design: This was a prospective study of 50 patients of thoracolumbar fracture dislocation treated at a single institution with short-segment fixation with the inclusion of fracture level. Purpose: To assess the outcomes of including the fracture level in short-segment fixation for thoracolumbar fracture dislocation. Overview of Literature: Traditionally, thoracolumbar fracture dislocation is treated with long-segment posterior fixation. However, to save motion segments, short-segment fixation has been used instead in many cases of thoracolumbar trauma. Methods: In this study, 50 patients with thoracolumbar fracture dislocation were treated with short-segment fixation with inclusion of the fracture level; patients with pathological fractures or with a McCormack load-sharing score >6 were excluded. The 50 patients were prospectively followed for at least 1 year. The duration of surgery, blood loss, and complications were noted. The Visual Analog Scale (VAS) score was used to measure pain, and the American Spinal Injury Association (ASIA) scale was used to determine the neurological status at follow-up. Preoperative, immediate postoperative, and final follow-up X-rays were used to measure the kyphotic angle using Cobb’s method. Results: The mean age of our patients was 33.4 years, and the male:female ratio was 1.9:1. The mean follow-up period was 18.4 months (range, 12–23 months). Injuries were mainly at the thoracolumbar junction area (T11–L2, 41 cases, 82%). The average duration of surgery was 94.6 minutes, and the average blood loss was 394.8 mL. Postoperative infection occurred in two cases and implant failure in one case. The kyphosis angle values were as follows: average preoperative, 26.80°±14.50°; immediate postoperative, 4.30°±8.70°; and final follow-up, 5.50°±110°. The ASIA scale and VAS score at final follow-up showed improvement. Conclusions: Inclusion of the fracture level in short-segment fixation for thoracolumbar fracture dislocation (McCormack load-sharing score ≤6) gives good kyphosis correction and correction maintenance. It can also obviate the need for traditional long-segment fixation.
#Thoracolumbar #Fracture #Dislocation #Short segment #Fixation

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참고문헌 (16)

참고문헌 신청
Knop C / 2002 / Complications in surgical treatment of thoracolumbar injuries / Eur Spine J 11:214~226 google schola Parker JW / 2000 / Successful short-segment instrumentation and fusion for thoracolumbar spine fractures : a consecutive 41/2-year series / Spine(Phila Pa 1976) 25:1157~1170 google schola Tezeren G / 2005 / Posterior fixation of thoracolumbar burst fracture : short-segment pedicle fixation versus long-segment instrumentation / J Spinal Disord Tech 18:485~488 google schola Altay M / 2007 / Treatment of unstable thoracolumbar junction burst fractures with short-or long-segment posterior fixation in Magerl type a fractures / Eur Spine J 16:1145~1155 google schola Bohlman HH / 1985 / Treatment of fractures and dislocations of the thoracic and lumbar spine / J Bone Joint Surg Am 67:165~169 google schola

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