scholarly journals Work status after posterior fixation of unstable but neurologically intact burst fractures of thoracolumbar spine

Spinal Cord ◽  
1991 ◽  
Vol 29 (9) ◽  
pp. 600-606 ◽  
Author(s):  
R J Huler ◽  
S I Esses ◽  
D J Botsford
Keyword(s):  
Thoracolumbar Spine ◽  
Work Status ◽  
Posterior Fixation ◽  
Burst Fractures ◽  
Neurologically Intact

scholarly journals Biomechanical comparison of short-segment posterior fixation including the fractured level and circumferential fixation for unstable burst fractures of the lumbar spine in a calf spine model

2016 ◽  
Vol 25 (5) ◽  
pp. 602-609 ◽  
Author(s):  
Azad Sait ◽  
Nadipi Reddy Prabhav ◽  
Vijay Sekharappa ◽  
Reshma Rajan ◽  
N. Arunai Nambi Raj ◽  
...  
Keyword(s):  
Burst Fracture ◽  
Thoracolumbar Spine ◽  
Axial Rotation ◽  
Posterior Fixation ◽  
Lateral Flexion ◽  
Short Segment ◽  
Burst Fractures ◽  
Flexion Extension ◽  
Group A ◽  
Group B

OBJECTIVE There has been a transition from long- to short-segment instrumentation for unstable burst fractures to preserve motion segments. Circumferential fixation allows a stable short-segment construct, but the associated morbidity and complications are high. Posterior short-segment fixation spanning one level above and below the fractured vertebra has led to clinical failures. Augmentation of this method by including the fractured level in the posterior instrumentation has given promising clinical results. The purpose of this study is to compare the biomechanical stability of short-segment posterior fixation including the fractured level (SSPI) to circumferential fixation in thoracolumbar burst fractures. METHODS An unstable burst fracture was created in 10 fresh-frozen bovine thoracolumbar spine specimens, which were grouped into a Group A and a Group B. Group A specimens were instrumented with SSPI and Group B with circumferential fixation. Biomechanical characteristics including range of motion (ROM) and load-displacement curves were recorded for the intact and instrumented specimens using Universal Testing Device and stereophotogrammetry. RESULTS In Group A, ROM in flexion, extension, lateral flexion, and axial rotation was reduced by 46.9%, 52%, 49.3%, and 45.5%, respectively, compared with 58.1%, 46.5%, 66.6%, and 32.6% in Group B. Stiffness of the construct was increased by 77.8%, 59.8%, 67.8%, and 258.9% in flexion, extension, lateral flexion, and axial rotation, respectively, in Group A compared with 80.6%, 56.1%, 82.6%, and 121.2% in Group B; no statistical difference between the two groups was observed. CONCLUSIONS SSPI has comparable stiffness to that of circumferential fixation.

Experimental modeling of burst fractures of the thoracolumbar spine

TRAUMA ◽  
2017 ◽  
Vol 18 (2) ◽  
pp. 46-52
Author(s):  
V.A. Radchenko ◽  
K.A. Popsuyshapka ◽  
M.Yu. Karpinsky ◽  
E.D. Karpinska ◽  
S.A. Teslenko
Keyword(s):  
Thoracolumbar Spine ◽  
Experimental Modeling ◽  
Burst Fractures

Anterior stabilization for unstable traumatic thoracolumbar spine burst fractures

2015 ◽  
Vol 130 ◽  
pp. 86-90 ◽  
Author(s):  
Shihao Zhang ◽  
Jai Deep Thakur ◽  
Imad Saeed Khan ◽  
Richard Menger ◽  
Sunil Kukreja ◽  
...  
Keyword(s):  
Thoracolumbar Spine ◽  
Burst Fractures

scholarly journals Short vs long posterior fixation of thoracolumbar spine injuries

2016 ◽  
Vol 69 (suppl. 1) ◽  
pp. 15-21
Author(s):  
Milan Stankovic ◽  
Natasa Janjic ◽  
Ivica Lalic ◽  
Nemanja Gvozdenovic ◽  
Igor Elez ◽  
...  
Keyword(s):  
Orthopedic Surgery ◽  
Neurological Deficit ◽  
Anterior Part ◽  
Thoracolumbar Spine ◽  
Posterior Fixation ◽  
Low Back ◽  
Fixation Group ◽  
Clinical Center ◽  
Spine Injuries

Introduction. More than a quarter of total number of posterior fixations of thoracolumbar spine is unsuccessful. Material and methods. The aim is to compare short and long fixation of thoracolumbar spine injuries. During the period of 2006 to 2015 we examined 99 patients at the Department of Orthopedic Surgery and Traumatology of Clinical Center of Vojvodina. Short fixation was performed in 63 cases and long fixation in 36 cases. All patients underwent clinical, radiographic and neurological evaluation. Mean age in the short fixation group was 47 (18-66) and in the long fixation group it was 43 (17-70). Mean follow-up time was 4,5 years. Results. Implants were extracted in 14 cases of short and in 4 cases of long fixation. Collapse of anterior part of vertebral body developed in 28,45% in the short fixation group and in 22,43% in the long fixation group whereas angulation value was 10,2o and 12,3o respectively. Mean low back outcome scale value was 61 points in the short fixation group and 50 in the long fixation group. There were 22 patients with neurological deficit. Full recovery was recorded in 8 patients (36,4%) of the short fixation group and in 17 patients (22,7%) of the long fixation group. Complications developed in 15 patients (23,8%) of the short fixation group and 11 (30,6%) of the long fixation group. Conclusion. Short fixation is biomechanically weaker but provides a better functional recovery than long fixation.

scholarly journals Incidence of flexion distraction injuries of thoraco lumbar spine

2020 ◽  
Vol 8 (2) ◽  
pp. 480
Author(s):  
Satheesh Kumar S.
Keyword(s):  
Lumbar Spine ◽  
Capacity Planning ◽  
Road Traffic ◽  
Tertiary Care ◽  
Thoracolumbar Spine ◽  
Spinal Fractures ◽  
Etiologic Factor ◽  
Trauma Patients ◽  
Spine Fractures ◽  
Burst Fractures

Background: Thoraco-lumbar spine fractures form majority of spine fractures and is an important cause of morbidity. However, comprehensive data regarding epidemiological pattern of trauma patients with spinal fractures are scarce. Many epidemiological reports about spinal fractures focus on osteoporosis as an etiologic factor. But in Indian population more important etiological factors are road traffic accidents and falls from height. Studies concerning only operatively treated patients with spinal fractures show selective and biased data that might be useful for capacity planning in hospitals or evaluating results of operative treatment, but not for epidemiological purposes. Methods: Among 86 consecutive patients with thoracic or lumbar fractures attending the out-patient department or Emergency department of Sree Gokulam Medical College, Trivandrum were enrolled in the study.  All patients with fractures of the thoracic or lumbar spine were enrolled in this study.Results: Flexion distraction injuries are the second commonest unstable thoracolumbar spine injuries.Conclusions: This study is a prospective cohort study of the epidemiological aspects and pattern of injury and treatment in thoraco-lumbar spine fractures at a tertiary care referral center. A total of 86 patients were enrolled in the study. The most common fracture pattern seen in this study was compression fractures (24.4%) which are stable. This was followed by stable burst fractures (23.2%, unstable burst fractures (18.6%), translational injuries (fracture-dislocations) (16.3%), flexion-distraction injuries (13.9%) and chance fractures (3.5%).

Thoracolumbar Burst Fractures

2018 ◽  
pp. 123-132
Author(s):  
Omaditya Khanna ◽  
Geoffrey P. Stricsek ◽  
James S. Harrop
Keyword(s):  
Treatment Options ◽  
Thoracolumbar Spine ◽  
Axial Loading ◽  
Classification Systems ◽  
Surgical Approaches ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures ◽  
Thoracolumbar Injury ◽  
Fall From Height ◽  
Thoracolumbar Spine Fractures

Ten to twenty percent of all thoracolumbar spine fractures are burst fractures. Burst fractures are typically a result of an axial-loading mechanism, such as from jumping or a fall from height. In this chapter, the authors provide an overview of the different classification systems for thoracolumbar fractures, including the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification system and Thoracolumbar Injury Classification and Severity (TLICS) score. The various treatment options, both surgical and nonsurgical, are discussed, including criteria for when surgical intervention is warranted. The authors discuss the various surgical approaches for treatment of these fractures and their relative efficacies and outcomes. Finally, the authors review the evidence, outcomes, and potential complications of the various treatment options in order to aid the surgeon in their decision-making when these fractures are encountered in their practice.

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