Unstable Thoracolumbar and Lumbar Burst Fractures Treated with the AO Fixateur Interne

Benson, Daniel R.; Burkus, J. Kenneth; Montesano, Pasquale X.; Sutherland, Timothy; McLain, Robert F.

doi:10.1097/00002517-199209000-00012

Cited by 158 publications

(80 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The combined surgery achieved a high union rate and low instrumentation failure (Table 1). 4,5,7,14,[23][24][25][26] We reviewed the clinical results reported for short-segment pedicle screw fixation and for other anterior decompression procedures for treating thoracolumbar . Posterior/anterior combined surgery (T12-L2) was performed.…”

Section: Discussionmentioning

confidence: 99%

Posterior/anterior combined surgery for thoracolumbar burst fractures—posterior instrumentation with pedicle screws and laminar hooks, anterior decompression and strut grafting

et al. 2010

View full text Add to dashboard Cite

Study design: A prospective clinical study. Objective: The purpose of this study was to evaluate prospectively a large group of patients with thoracolumbar burst fractures who were treated with a posterior/anterior combined procedure and to report on the surgical outcomes, complications and radiographic results. Methods: A total of 100 consecutive patients were surgically managed with posterior instrumentation, anterior decompression and anterior strut grafting. There were 71 males and 29 females; the mean age was 36 years. Patients with osteoporotic delayed vertebral body collapse were excluded. The mean follow-up period was 30 months. Surgical outcomes such as operative time, blood loss and sagittal alignment were investigated. A neurological assessment was performed by a rating system based on the American Spine Injury Association impairment scale. An interbody fusion was judged using plain X-ray and computed tomographic scans. Results: The mean operative time was 256 min and the mean operative bleeding was 985 ml. Most of the patients were ambulatory within 3 days after surgery. Of the 76 patients with neurological injury, 54 (71.1%) recovered function following surgery. The mean local kyphosis angle was 12.21 kyphotic preoperatively and 0.81 lordotic at the final observation. The mean correction angle was 15.71 and correction loss was 2.61. No instrumentation failure was observed and the postoperative fusion rate was 99%. Conclusions: Posterior/anterior combined surgery with posterior pedicle screws and hooks fixation, and reconstruction by simultaneous strut grafting and anterior decompression, achieved short segment fixation and can be a useful option for surgically treating thoracolumbar burst fractures.

show abstract

Section: Discussionmentioning

confidence: 99%

Posterior/anterior combined surgery for thoracolumbar burst fractures—posterior instrumentation with pedicle screws and laminar hooks, anterior decompression and strut grafting

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Although a good correction of kyphosis and restoration of vertebral body height is achieved by surgery, most is lost during the long-term follow-up period. This loss of correction and the failure of the implant are more common in spine fractures repaired with pedicle screws [2,5] than in those in which anterior grafting and instrumentation are used [7,13,14], reportedly due to the failure of posterior instrumentation to support the anterior column.…”

Section: Discussionmentioning

confidence: 99%

Management of unstable thoracolumbar spinal injuries by posterior short segment spinal fixation

Butt

Farooq

Mir

et al. 2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most common cause of injury. Twenty six patients had unstable burst fractures and 13 had translational injury. There were 15 patients with complete neurological deficit, 17 had partial neurological lesions, while 18 had no neurological deficit. All patients were treated by posterior short segment fixation (Steffee VSP). The average pre-operative kyphotic angle was 21.48°, which improved to 12.86°in the immediate post-operative period. The loss of kyphosis averaged 3.46°(0-26°) at the final follow-up. The average pre-operative anterior vertebral body height was 44.7% (range: 36-90%), which improved to 72.0% (range: 55-97%) in the immediate post-operative period. The loss of body height averaged 3.0% (range: 1-15%) at the final follow-up. No neurological deterioration was seen, and in 24 cases a one grade or better improvement was observed. The mean pain score was 1.6, and the mean functional score was 2.8. We found that the application of posterior instrumentation resulted in a reasonable correction of the deformity with a significant reduction in recumbency-associated complications; there were, however, significant other complications. (1-15) au suivi final. Aucune dégradation neurologique n'a été constatée. Une amélioration a été retrouvée dans 24 cas le score douleur moyen a été de 1.6 le score fonction de 2.8. Une instrumentation postérieure permet une correction raisonnable de la déformation avec une réduction significative des complications.

show abstract

“…O uso de instrumentação segmentar com parafusos de pedículo através de uma abordagem posterior tradicional tem apresentado alta taxa de falha em ossos osteoporóticos [8][9][10][11] ; consequentemente, técnicas de instrumentação anterior mais enxerto ósseo estruturado, cages e placas foram introduzidos para aumentar a estabilidade da coluna anterior e mostraram-se efetivas [12][13][14][15][16] . Entretanto, estabilização anterior requer uma abordagem mais invasiva que é associada um tempo cirúrgico e de internação hospitalar prolongados, perda sanguínea, complicações do sítio doador de enxerto e, aumento da morbidade e mortalidade em pessoas idosas [12][13][14][15] .…”

Section: Objetivo: Evaluar El Resultado Funcional Y El Grado De Satisunclassified

Cifoplastia no tratamento da fratura vertebral por insuficiência: avaliação funcional prospectiva

et al. 2011

View full text Add to dashboard Cite

RESUMOObjetivo: Avaliar o resultado funcional e o grau de satisfação do tratamento cirúrgico utilizando cifoplastia em pacientes com fratura vertebral por insuficiência localizada na coluna tóraco-lombar. Métodos: Foi realizado um estudo prospectivo em pacientes adultos, com diagnóstico de fratura vertebral por insuficiência com evolução superior a oito semanas, apresentando dor no local da fratura e edema ósseo evidente ao exame de RM. A avaliação funcional foi realizada através do Oswestry Disability Index 2.0 e da Escala Visual Analógica de Dor no pré-e pós-operatório. A satisfação pessoal com o tratamento foi quantificada pela escala de Johnson. Resultados: Houve melhora significativa da dor com uma queda média de 6.4 pontos na Escala Visual Analógica de Dor ao final de doze meses de seguimento em comparação ao período pré-operatório (p < 00,5). A avaliação funcional mostrou 88% de resultados excelentes ou bons, sendo que sete pacientes (41%) apresentaram excelentes resultados e oito pacientes (47%) tiveram resultados bons. Dois pacientes (12%) mantiveram sua avaliação funcional inalterada. Quanto à graduação subjetiva de satisfação, 82% declararam-se satisfeitos sendo que 59% estavam completamente satisfeitos e 23% satisfeitos com mínimas restrições. Três pacientes (18%) declararam-se insatisfeitos com o resultado do procedimento. Conclusão: A cifoplastia mostrou-se efetiva em melhorar a função e liberar a dor em pacientes com fratura vertebral por insuficiência. A ocorrência de uma complicação grave (IAM) chama atenção para a necessidade de suporte hospitalar adequado durante a realização do procedimento.Descritores: Fraturas da coluna vertebral/cirurgia; Osteoporose/complicações; Fraturas por compressão/cirurgia.

show abstract

Unstable Thoracolumbar and Lumbar Burst Fractures Treated with the AO Fixateur Interne

Cited by 158 publications

References 1 publication

Posterior/anterior combined surgery for thoracolumbar burst fractures—posterior instrumentation with pedicle screws and laminar hooks, anterior decompression and strut grafting

Posterior/anterior combined surgery for thoracolumbar burst fractures—posterior instrumentation with pedicle screws and laminar hooks, anterior decompression and strut grafting

Management of unstable thoracolumbar spinal injuries by posterior short segment spinal fixation

Cifoplastia no tratamento da fratura vertebral por insuficiência: avaliação funcional prospectiva

Contact Info

Product

Resources

About