scholarly journals Percutaneous augmented instrumentation of unstable thoracolumbar burst fractures

2011 ◽  
Vol 21 (5) ◽  
pp. 850-854 ◽  
Author(s):  
Nimrod Rahamimov ◽  
Hani Mulla ◽  
Adi Shani ◽  
Shay Freiman
Keyword(s):  
Thoracolumbar Burst Fractures ◽  
Burst Fractures

scholarly journals Treatment of thoracolumbar burst fractures: extended follow-up of a randomized clinical trial comparing orthosis versus no orthosis

2017 ◽  
Vol 27 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Jennifer C. Urquhart ◽  
Osama A. Alrehaili ◽  
Charles G. Fisher ◽  
Alyssa Fleming ◽  
Parham Rasoulinejad ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Weighted Average ◽  
Average Treatment Effect ◽  
Secondary Outcome ◽  
Thoracolumbar Burst Fractures ◽  
Treatment Comparison ◽  
Average Treatment ◽  
Burst Fractures ◽  
Time Weighted Average

OBJECTIVEA multicenter, prospective, randomized equivalence trial comparing a thoracolumbosacral orthosis (TLSO) to no orthosis (NO) in the treatment of acute AO Type A3 thoracolumbar burst fractures was recently conducted and demonstrated that the two treatments following an otherwise similar management protocol are equivalent at 3 months postinjury. The purpose of the present study was to determine whether there was a difference in long-term clinical and radiographic outcomes between the patients treated with and those treated without a TLSO. Here, the authors present the 5- to 10-year outcomes (mean follow-up 7.9 ± 1.1 years) of the patients at a single site from the original multicenter trial.METHODSBetween July 2002 and January 2009, a total of 96 subjects were enrolled in the primary trial and randomized to two groups: TLSO or NO. Subjects were enrolled if they had an AO Type A3 burst fracture between T-10 and L-3 within the previous 72 hours, kyphotic deformity < 35°, no neurological deficit, and an age of 16–60 years old. The present study represents a subset of those patients: 16 in the TLSO group and 20 in the NO group. The primary outcome measure was the Roland Morris Disability Questionnaire (RMDQ) score at the last 5- to 10-year follow-up. Secondary outcome measures included kyphosis, satisfaction, the Numeric Rating Scale for back pain, and the 12-Item Short-Form Health Survey (SF-12) Mental and Physical Component Summary (MCS and PCS) scores. In the original study, outcome measures were administered at admission and 2 and 6 weeks, 3 and 6 months, and 1 and 2 years after injury; in the present extended follow-up study, the outcome measures were administered 5–10 years postinjury. Treatment comparison between patients in the TLSO group and those in the NO group was performed at the latest available follow-up, and the time-weighted average treatment effect was determined using a mixed-effects model of longitudinal regression for repeated measures averaged over all time periods. Missing data were assumed to be missing at random and were replaced with a set of plausible values derived using a multiple imputation procedure.RESULTSThe RMDQ score at 5–10 years postinjury was 3.6 ± 0.9 (mean ± SE) for the TLSO group and 4.8 ± 1.5 for the NO group (p = 0.486, 95% CI −2.3 to 4.8). Average kyphosis was 18.3° ± 2.2° for the TLSO group and 18.6° ± 3.8° for the NO group (p = 0.934, 95% CI −7.8 to 8.5). No differences were found between the NO and TLSO groups with time-weighted average treatment effects for RMDQ 1.9 (95% CI −1.5 to 5.2), for PCS −2.5 (95% CI −7.9 to 3.0), for MCS −1.2 (95% CI −6.7 to 4.2) and for average pain 0.9 (95% CI −0.5 to 2.2).CONCLUSIONSCompared with patients treated with a TLSO, patients treated using early mobilization without orthosis maintain similar pain relief and improvement in function for 5–10 years.

scholarly journals Intraoperative sonographic monitoring of reduction of thoracolumbar burst fractures

1985 ◽  
Vol 145 (6) ◽  
pp. 1229-1232 ◽  
Author(s):  
JP McGahan ◽  
D Benson ◽  
B Chehrazi ◽  
JP Walter ◽  
FC Wagner
Keyword(s):  
Thoracolumbar Burst Fractures ◽  
Burst Fractures

scholarly journals Short Segment versus Long Segment Pedicle Screws Fixation in Management of Thoracolumbar Burst Fractures: Meta-Analysis

2017 ◽  
Vol 11 (1) ◽  
pp. 150-160 ◽  
Author(s):  
Tarek Ahmed Aly
Keyword(s):  
Pedicle Screw ◽  
Screw Fixation ◽  
Meta Analysis ◽  
Pedicle Screw Fixation ◽  
Risk Of Bias ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures ◽  
Significant Difference

<p>Posterior pedicle screw fixation has become a popular method for treating thoracolumbar burst fractures. However, it remains unclear whether additional fixation of more segments could improve clinical and radiological outcomes. This meta-analysis was performed to evaluate the effectiveness of fixation levels with pedicle screw fixation for thoracolumbar burst fractures. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, Springer, and Google Scholar were searched for relevant randomized and quasirandomized controlled trials that compared the clinical and radiological efficacy of short versus long segment for thoracolumbar burst fractures managed by posterior pedicle screw fixation. Risk of bias in included studies was assessed using the Cochrane Risk of Bias tool. Based on predefined inclusion criteria, Nine eligible trials with a total of 365 patients were included in this meta-analysis. Results were expressed as risk difference for dichotomous outcomes and standard mean difference for continuous outcomes with 95% confidence interval. Baseline characteristics were similar between the short and long segment fixation groups. No significant difference was identified between the two groups regarding radiological outcome, functional outcome, neurologic improvement, and implant failure rate. The results of this meta-analysis suggested that extension of fixation was not necessary when thoracolumbar burst fracture was treated by posterior pedicle screw fixation. More randomized controlled trials with high quality are still needed in the future.</p>

scholarly journals CT Findings Predictive of Neurological Deficits in Thoracolumbar Burst Fractures

2016 ◽  
Vol 75 (3) ◽  
pp. 185
Author(s):  
Tae Yong Moon ◽  
Hee Seok Jeong ◽  
In Sook Lee ◽  
Yeo-jin Jeong
Keyword(s):  
Neurological Deficits ◽  
Thoracolumbar Burst Fractures ◽  
Ct Findings ◽  
Burst Fractures

Results of treatment of unstable thoracolumbar burst fractures using pedicle instrumentation with and without fracture-level screws

2015 ◽  
Vol 157 (5) ◽  
pp. 831-836 ◽  
Author(s):  
Ali İhsan Ökten ◽  
Yurdal Gezercan ◽  
Kerem Mazhar Özsoy ◽  
Tuncay Ateş ◽  
Güner Menekşe ◽  
...  
Keyword(s):  
Thoracolumbar Burst Fractures ◽  
Results Of Treatment ◽  
Burst Fractures ◽  
Fracture Level

scholarly journals Thoracolumbar burst fractures with a neurological deficit treated with posterior decompression and interlaminar fusion

2011 ◽  
Vol 20 (12) ◽  
pp. 2195-2201 ◽  
Author(s):  
Cheng-Meng Ge ◽  
Yu-Ren Wang ◽  
Sheng-Dan Jiang ◽  
Lei-Sheng Jiang
Keyword(s):  
Neurological Deficit ◽  
Posterior Decompression ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures
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