Thoracolumbar fracture classification: evolution, merits, demerits, updates, and concept of stability

Prajapati, Hanuman Prasad; Kumar, Raj

doi:10.1080/02688697.2020.1777256

Cited by 13 publications

(10 citation statements)

References 31 publications

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“…The random number table method was used to divide into experimental group (n = 241) and control group (n = 241). Inclusion criteria are as follows: (1)…”

Section: Research Objectmentioning

confidence: 99%

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Observation of the Intervention Effect of Biofeedback Therapy Combined With Cluster Nursing on Perioperative Constipation in Patients With Thoracolumbar Fracture

2022

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PurposeTo discuss the intervention effect of biofeedback therapy combined with cluster nursing on perioperative constipation in patients with thoracolumbar fracture.MethodsFrom June 2019 to June 2020, a total of 482 patients with thoracolumbar fracture who were treated by surgery in our department were selected. The random number table method was used to divide into experimental group (n = 241) and control group (n = 241). The control group was given routine constipation care, the experimental group was given biofeedback therapy combined with cluster nursing based on the control group. The constipation score, Bristol stool scale score, the short health questionnaire (SF-36) scale score, and the satisfaction of two groups were observed.ResultsThe constipation scores of the experimental group were lower than those of the control group, while the Bristol stool scale score, SF-36 score, and satisfaction degree of the experimental group were higher than those of the control group (p < 0.05).ConclusionBiofeedback therapy combined with cluster nursing has a good intervention effect in perioperative constipation of patients with thoracolumbar fracture, which can reduce the degree of constipation, improve stool traits, improve the quality of life, and improve the satisfaction of patients.

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“…The random number table method was used to divide into experimental group (n = 241) and control group (n = 241). Inclusion criteria are as follows: (1)…”

Section: Research Objectmentioning

confidence: 99%

“…Thoracolumbar fracture is a kind of spinal injury disease in the transition region from thoracic segment to lumbar segment, this area is prone to stress concentration, which can lead to fracture ( 1 ). Thoracolumbar fracture accounts for >60% of spinal injuries.…”

Section: Introductionmentioning

confidence: 99%

Observation of the Intervention Effect of Biofeedback Therapy Combined With Cluster Nursing on Perioperative Constipation in Patients With Thoracolumbar Fracture

2022

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“…With the evolution in comprehension of natural history, biomechanics, and forces/vectors leading to injur y, scientists have tried to develop the ideal classification system. Designing the ideal classification has certainly been a challenge since the ideal classification system should be simple, good inter-and intra-observer reliability, guiding the treatment, considering associated medical morbidities, and neurology of the patient [7].…”

Section: Introductionmentioning

confidence: 99%

Classification of thoracolumbar fractures: A Narrative review

Chhabra¹,

Manghwani²

2022

Jcorth

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Thoracolumbar fractures constitute 75% of the cases of spine trauma. Thoracolumbar classification systems are important to diagnose, stage, determine the management of vertebral lesions, and predict the results of the different treatment options. This narrative review describes how the classification systems evolved over time with the unique features of each historically. Radiographs are the initial step of investigation. Magnetic resonance imaging and computed tomography help in delineating the injury better. This article narrates diagnosing instability and the role of each classification system in aiding to make a decision of a particular thoracolumbar fracture with merits and demerits of each.

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“…But there is still no consensus of classification of TF. In order to make the right choice for patients with TF, various classifications attempted to provide effective guidance for clinic including the AO Spine classification of thoracolumbar injuries, proposed by Müller et al ., thoracolumbar injury classification and severity score (TLICS) presented by Vaccaro et al ., and Denis classification or McAfee classification 7 . The first two classifications are commonly used in current clinical applications but there are differences between them.…”

Section: Introductionmentioning

confidence: 99%

“…The first two classifications are commonly used in current clinical applications but there are differences between them. The simplification and universalization of classifying spinal injuries and improvement of the reliability of diagnosis are the main goal of the AO Spine classification of thoracolumbar injuries system 7 . However, thoracolumbar injury classification and severity score (TLICS) system aims to make the right treatment choice for patients with TF based on not only the morphologic image but also incorporating clinical features 5 .…”

Section: Introductionmentioning

confidence: 99%

The Clinical Effect of Manual Reduction Combined with Internal Fixation Through Wiltse Paraspinal Approach in the Treatment of Thoracolumbar Fracture

et al. 2021

Orthopaedic Surgery

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Objective: To evaluate the clinical outcome of manual reduction combined with pedicle fixation through Wiltse paraspinal approach (WPA) in the treatment of thoracolumbar fractures.Methods: From May 2017 to May 2019, 48 thoracolumbar fractures patients without neurological symptoms were enrolled in this study. Forty-eight patients were randomly divided into two groups based on the different surgical treatment. Group 1 was manual reduction combined with pedicle screw fixation through Wiltse paraspinal approach treatment group. Group 2 was pedicle screw fixation through traditional posterior approach treatment group. The operation time (OT), intraoperative blood loss (BL), postoperative drainage (PD), time of brace (TB) and the cobb angle recovery of the injured kyphosis in the prone position were obtained and compared between the two groups, respectively. Comparison of cobb angle changes, serum creatine kinase (CK) level, pain visual analogue score (VAS), Oswestry disability index (ODI), and multifidus cross-sectional (MCS) area changes were achieved between the two groups, respectively.Results: Forty-eight patients were enrolled in this study and each group had 24 patients. There was no significant difference between the two groups in patient's age, height, weight, and body mass index (BMI). There were 20 males and four females in group 1. The mean age, height, weight, and BMI of patients were 61.

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Thoracolumbar fracture classification: evolution, merits, demerits, updates, and concept of stability

Cited by 13 publications

References 31 publications

Observation of the Intervention Effect of Biofeedback Therapy Combined With Cluster Nursing on Perioperative Constipation in Patients With Thoracolumbar Fracture

Observation of the Intervention Effect of Biofeedback Therapy Combined With Cluster Nursing on Perioperative Constipation in Patients With Thoracolumbar Fracture

Classification of thoracolumbar fractures: A Narrative review

The Clinical Effect of Manual Reduction Combined with Internal Fixation Through Wiltse Paraspinal Approach in the Treatment of Thoracolumbar Fracture

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