Results of Staged 360-Degree Spinal Fusion for Unstable Thoracolumbar Burst Fracture
Korean Journal of Spine
; : 197-201, 2011.
Article
en En
| WPRIM
| ID: wpr-86475
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: The purpose of this study was to evaluate the results obtained in patients who underwent staged 360-degree fusion with posterior fusion following anterolateral fusion for unstable thoracolumbar burst fractures. METHODS: The authors performed 360-degree fusion for thoracolumbar burst fractures in 21 patients between 2006 and 2010. We reviewed the medical records and follow-up data including pre- and postoperative neurological status, spinal canal compromise, segmental kyphotic angulations, complications, visual analogue scale (VAS) pain scores, and revision surgery rates. RESULTS: The mean computed tomography-measured preoperative spinal canal compromise was 55.9+/-20.7%. The segmental kyphotic deformity measured 20.2+/-4.4degrees preoperatively and had been corrected to 4.5+/-2.8degrees postoperatively. The mean vertebral body height loss of 57.4+/-6.9% improved significantly to 1.2+/-0.7% at the final follow-up examination. The mean preoperative VAS pain score of 8.2+/-0.8 improved to 1.5+/-0.6 at discharge. There were no cases of vascular complication, neurological deterioration, or revision surgery. CONCLUSION: Unstable burst fracture of thoracolumbar spine managed by staged posterior fusion and anterolateral interbody fusionis effective for kyphosis correction, significant canal decompression, pain reduction, maintaining stabilization and neurological improvement.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Canal Medular
/
Fusión Vertebral
/
Columna Vertebral
/
Anomalías Congénitas
/
Estatura
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Registros Médicos
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Estudios de Seguimiento
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Fracturas de la Columna Vertebral
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Descompresión
/
Cifosis
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Korean Journal of Spine
Año:
2011
Tipo del documento:
Article