Short or long fusion after thoracolumbar burst fractures does not alter selected gait parameters: a preliminary study

Abstract

We evaluated the gait characteristics of patients who had short or long-segment fusion after thoracolumbar burst fractures. The study included 12 patients (5 male, 7 female) who had vertebral fusion after traumatic thoracolumbar region (T12-L2) burst fractures. Patients were divided into two groups based on fixation type (short or long segment). Twelve healthy age and sex-matched subjects (seven male, five female) served as controls. Quantitative gait data, including all time-distance (walking velocity, cadence, step time, step length, double support time), kinematic (joint rotation angles of pelvis, hip, knee, and ankle), and kinetic data (moments of hip in sagittal and coronal plane) were collected. Three patients had a T12, six patients an L1, and three patients had an L2 lesion. Patients in the two groups were similar in terms of age, sex, and time since operation. No significant differences were found in the time-distance, kinematic, and kinetic gait characteristics between the two groups. This preliminary study reveals that the gait characteristics of patients with short and long-segment fusion after thoracolumbar burst fractures were similar to those of healthy subjects and did not differ from each other. However, the present results should be interpreted with caution due to the small sample size. Future studies with larger groups are needed to provide additional data to validate these findings. ß

The use of X‐shaped cross‐link in posterior spinal constructs improves stability in thoracolumbar burst fracture: A finite element analysis

“…Thoracolumbar burst fracture is a common spine injury representing ∼20% of thoracolumbar injuries . Favorable results were reported after non‐operative management without reduction; however, surgical treatment is advocated in most cases to provide stability, prevent neurological deterioration, and provide pain relief.…”

“…The choice of surgery may vary according to surgeon's preference and local product availability . With this in mind, the pedicle posterior fixation was suggested as the best option since it counteracts flexion forces . Posterior fixation involves the use of pedicle screws and longitudinal rigid rods that connect the screws.…”

The Retrospective Analysis of Posterior Short-Segment Pedicle Instrumentation without Fusion for Thoracolumbar Burst Fracture with Neurological Deficit

“…Owing to the fulcrum of increased motion at the T12-L1 junction, approximately 90% of spine fractures are located in the thoracolumbar region, and the burst fractures account for nearly 10–20% of spine injuries [1]. The definition of “burst fracture” was firstly presented by Holdsworth in 1963 [2].…”

Yürüme analizi ve temel kavramlar

“…Bu verilerden alınan geri bildirimler ile eğitim verilebilir, uygulanacak tedavi belirlenebilir ve yeni tedavi protokolleri geliştirilebilir; tedavi etkinliği değerlendirilebilir, bilimsel araştırma yapılabilir. Yürüme analizi birçok kas iskelet sistemi sorununda, [14][15][16][17][18][19][20][21][22][23][24][25] serebral palsi, [26] inme, [27][28][29] parkinson, [30] omurilik hasarı [31] gibi nörolojik hastalık-larda, ampütelerde, [32] spor yaralanmalarında, [33] spastisite tedavisinde, [34] ameliyat ve diğer tedavi girişimleri-nin planlanmasında, [35] ortez ve protez uygulamaların-da tedavi sonuçlarının değerlendirilmesinde [36,37] ve tıp dışında sinema endüstrisinde de kullanılmaktadır.…”