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The results of the surgical treatment of 64 patients with thoracic and lumbar fracture.
- Source :
-
La Chirurgia degli organi di movimento [Chir Organi Mov] 2002 Apr-Jun; Vol. 87 (2), pp. 109-16. - Publication Year :
- 2002
-
Abstract
- A total of 64 patients surgically treated for vertebral fractures were evaluated clinically and radiographically after a mean time of 49.55 months (from 1 to 124). There were 50 males and 14 females. Mean age at the time of surgery was 40.67 years (from 17 to 71). Fractures were divided based on the Denis classification system: comminuted fractures: 45; fractures caused by flexion-distraction: 2; fracture-dislocation: 17; 31 of the fractures were localized at the lumbar level, 30 in the dorsal region, 3 at the dorsolumbar passage. Neurologic evaluation was carried out on admission and at follow-up using the Frankel classification system: type A: 22; type B: 13; type C: 7; type D: 6; type E: 16. 56.25% of the patients (36 cases) were classified as having multiple trauma. Of the 64 patients, 38 had reduction and stabilization within 6 hours of trauma, 26 were treated after a mean time of 2.7 days (from 1 to 6). Harrington-Luque stabilization was carried out in 5 patients, using the Hartshill rectangle in 59. The mean time for hospitalization was 27.68 days (from 9 to 91). Follow-up showed neurologic recovery in all of the patients operated on, with the exclusion of those classified as Frankel A, without sacral sparing. Despite the residual kyphosis and the final anatomic findings which were not always satisfactory, the methods used allowed us to obtain results that could be compared to those obtained by other means of fixation and more complex techniques.
- Subjects :
- Adolescent
Adult
Aged
Female
Follow-Up Studies
Fractures, Comminuted diagnosis
Fractures, Comminuted diagnostic imaging
Humans
Lumbar Vertebrae diagnostic imaging
Male
Middle Aged
Neurologic Examination
Radiography
Spinal Fractures diagnosis
Spinal Fractures diagnostic imaging
Thoracic Vertebrae diagnostic imaging
Time Factors
Treatment Outcome
Fractures, Comminuted surgery
Lumbar Vertebrae injuries
Spinal Fractures surgery
Thoracic Vertebrae injuries
Subjects
Details
- Language :
- English; Italian
- ISSN :
- 0009-4749
- Volume :
- 87
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- La Chirurgia degli organi di movimento
- Publication Type :
- Academic Journal
- Accession number :
- 12508710