Abstract
BackgroundThoracolumbar fractures represent a widespread injuries that can cause significant disability and strain the healthcare system. Different surgical approaches are described in the literature. This study was conducted to evaluate the fractured level inclusion in short-segment fixation of thoracolumbar junction spine fractures.ResultsPreoperative neurological deficit was reported in seven patients ranging from ASIA grade C to D. All of these patients improved to grade E by the end of the follow-up period, except for one patient who improved from grade C to D. The mean Oswestry Disability Index was 19.87%. The mean postoperative Cobb angle was 11.77° which significantly improved compared to a preoperative value of 19.37°. There was a significant improvement in the postoperative anterior and posterior vertebral body height compared to the preoperative values. The vertebral body compression ratio significantly improved during the postoperative period to a mean of 84% compared to 76% preoperative.ConclusionsThere was significant improvement of the postoperative values of the mean Cobb angle, the anterior and the posterior vertebral body height as well as the vertebral body compression ratio compared to the preoperative values.
Highlights
Thoracolumbar fractures represent a widespread injuries that can cause significant disability and strain the healthcare system
Thoracolumbar spine fractures are considered as widespread injuries that can cause significant disability, deformity and neurological deficit
In the past spine fractures were treated with external casting and immobilization but with the advances in medical technology and the increasing experience in dealing with spinal injuries, the impetus for developing an algorithm and definitive approaches in the management of patients suffering from these devastating injuries was provided
Summary
Thoracolumbar fractures represent a widespread injuries that can cause significant disability and strain the healthcare system. This study was conducted to evaluate the fractured level inclusion in short-segment fixation of thoracolumbar junction spine fractures. Thoracolumbar spine fractures are considered as widespread injuries that can cause significant disability, deformity and neurological deficit. They constitute a broad range of injuries from simple undisplaced fractures to complex fracture dislocations [1]. The (TLJ) thoracolumbar junction (T11–L2) is distinctively located between the rigid thoracic spine and the. In the past spine fractures were treated with external casting and immobilization but with the advances in medical technology and the increasing experience in dealing with spinal injuries, the impetus for developing an algorithm and definitive approaches in the management of patients suffering from these devastating injuries was provided. Many different approaches exist in the treatment of these patients [4]
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