Surgical management of posttraumatic thoracolumbar kyphosis

Buchowski, Jacob M.; Kuhns, Craig A.; Bridwell, Keith H.; Lenke, Lawrence G.

doi:10.1016/j.spinee.2007.03.006

Cited by 86 publications

(82 citation statements)

References 67 publications

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“…Also some radiographic findings were found to be relevant for all spine regions and time periods. These parameters could be related to occult instability of the injured spine level with gradual post-traumatic deformities, which may very well influence patients' outcome and result in conversion of the treatment [17][18][19]. Another relevant parameter for all spine regions and time periods was age.…”

Section: Discussionmentioning

confidence: 99%

Universal disease-specific outcome instruments for spine trauma: a global perspective on relevant parameters to evaluate clinical and functional outcomes of thoracic and lumbar spine trauma patients

et al. 2016

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Purpose Besides a patient reported outcome measure, the AOSpine Knowledge Forum Trauma aims to develop a new concept of a surgeon reported outcome measure (SROM) for spine trauma patients. This study aims to identify parameters that spine surgeons consider relevant to evaluate clinical and functional outcomes of thoracic and lumbar spine trauma patients. Methods An international cross-sectional web-based survey was conducted among spine surgeons from the five AOSpine International world regions. They were asked to evaluate the relevance of a compilation of 16 clinical and radiological parameters for thoracic and lumbar spine trauma patients, both for the short term (3 months-2 years) and long term (C2 years), on a five-point scale. The responses were analyzed using descriptive statistics, frequency analysis, and Kruskal-Wallis test.Results Out of the 279 invited members of AOSpine International and the International Spinal Cord Society, 118 (42.3 %) participated in this study. Of the 16 surveyed parameters, 5 were identified as relevant by at least 70 % of the participants. Neurological status was identified as most relevant. In contrast, five parameters were not deemed relevant for any spine region or time period, except for comorbidity. Only minor differences were observed when analyzing the responses according to each world region, spine surgeons' clinical experience, or professional background. Conclusions Including a large and representative sample of spine trauma experts, this study identified parameters to evaluate clinical and functional outcomes of thoracic and lumbar spine trauma patients. The results form the basis for the development of a SROM for this specific patient population.

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Section: Discussionmentioning

confidence: 99%

Universal disease-specific outcome instruments for spine trauma: a global perspective on relevant parameters to evaluate clinical and functional outcomes of thoracic and lumbar spine trauma patients

et al. 2016

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“…Acil servis hizmetlerindeki ve uygun immobilizasyon sağlanma-sındaki gelişmeler spinal kord ve kolon yaralanması ve bunlara bağlı mortalite insidansını azaltmıştır [44,45] Mortalitedeki bu azalma spinal kolon kırıklarının uzun dönem sonuçlarını daha görülebilir hale getirmiş ve posttravmatik spinal deformitelerde daha sık farkedilebilir olmuştur [46]. Halen en yaygın görülen posttravmatik deformite tipik olarak çoğunlukla torasik veya torakolomber bölgede izlenen kifozdur [39,45,47].…”

Section: Etyopatogenezunclassified

“…Posttravmatik kifoz en sık spinal kolon kırığına neden olan majör bir travma sonucu ortaya çıkar (Çoğunlukla fleksiyonkompresyon tip, fleksiyon distraksiyon tip kırıklar ve ciddi burst kırıkları). Ancak kemik kalitesinin bozulduğu osteoporoz, ankilozan spondilit, osteogenesis imperfekta tarda ve diğer endokrin ya da genetik hastalıklarda, tümör ve enfeksiyonlarda minör travma sonrası da gelişebilir [7,18,46]. Posttravmatik deformite %50'nin üzerinde kollapsın oluştuğu burst kırıklarında konservatif tedavi uygulandığında [30], travma sonrasında 30 derece ve üzerinde kifoz oluştuğunda (sagittal indeks >20º) [27,28], torakolomber kırık nedeniyle laminektomi uygulanan olgularda gelişebilir.…”

Section: Etyopatogenezunclassified

“…Bu psödoartroz, implant yetmezliği, sadece posterior cerrahi, kısa füzyon segmenti ve/veya geçirilmiş laminektomi, cerrahi sonrasında uygulanan implantların erken çıkarılması [9]. gibi yaralanmanın tedavisiyle ilgili faktörlerden kaynaklanabileceği gibi vertebra cisminin osteonekrozu veya Charcot omurga gibi tedaviyle ilgisiz faktörlerden de kaynaklanabilir [46]. Psödoartrozis geç PTK'a neden olabilir.…”

Section: Etyopatogenezunclassified

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Posttraumatic Kyphosis

Bïlgïç¹

2011

Ann Clin Anal Med

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“…16 Vertical translation greater than 4mm was also considered a factor of vertebral segment instability. 17,18 We divided the ADD analysis between the thoracic and lumbar segments and each segment was evaluated for statistical significance between the case and control groups.…”

mentioning

confidence: 99%

Adjacent Level Degeneration and Post-Traumatic Deformity After Thoracolumbar Fractures

Sebben

Graells

Benato³

et al. 2017

Coluna/Columna

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Objectives: To evaluate thoracolumbar fractures and the complications such as adjacent disc degeneration (ADD) and post-traumatic deformity. Methods: We evaluated 32 patients divided into two equal groups, 16 in the case group (removal of the synthesis material) and 16 in the control group (not submitted to removal of the synthesis material) in order to verify if there was difference between the incidence of these complications. Results: There were no statistically significant differences between the groups regarding the progression of the ADD and the post-traumatic deformity, but both progressed during the 2-year follow-up. Conclusion: It was concluded that the removal of the synthesis material was not effective in preventing these complications after surgical fractures of the thoracolumbar spine.Keywords: Intervertebral disc degeneration; Fractures; Spine. RESUMO

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Surgical management of posttraumatic thoracolumbar kyphosis

Cited by 86 publications

References 67 publications

Universal disease-specific outcome instruments for spine trauma: a global perspective on relevant parameters to evaluate clinical and functional outcomes of thoracic and lumbar spine trauma patients

Universal disease-specific outcome instruments for spine trauma: a global perspective on relevant parameters to evaluate clinical and functional outcomes of thoracic and lumbar spine trauma patients

Posttraumatic Kyphosis

Adjacent Level Degeneration and Post-Traumatic Deformity After Thoracolumbar Fractures

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