Case 110 Lumbar Burst Fracture

2020 ◽  
Keyword(s):  
Burst Fracture

Controversies in Managing of Thoracic-Lumbar Upper Burst Fractures

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Sahat Edison Sitorus
Keyword(s):  
Decision Making ◽  
Spinal Cord ◽  
Posterior Instrumentation ◽  
Burst Fracture ◽  
Surgical Decompression ◽  
Neurologic Deficit ◽  
Retroperitoneal Approach ◽  
Burst Fractures ◽  
Lateral Fixation

Upper burst fracture of Th12-L1 has unique anatomy because it contains lower spinal cord, medullary cone, and diaphragm which separates between the thoracic and lumbar spine.The presence or absence of neurologic deficit is the single most important factor in the decision making. The presence of profound but incomplete neural deficit in association with canal compromise represents an urgent indication of surgical decompression. Antero-lateral direct decompression with trans-thoracic trans-pleural–retroperitoneal approach given the proximity the cord and conus is the most effective method, with inter-vertebral instrumentation with or without lateral fixation or posterior instrumentation.

Endovascular repair of a distal thoracic aortic transection in association with traumatic burst fracture

2021 ◽  
Author(s):  
Kemal Eşref Erdoğan ◽  
Muhammed Said Beşler ◽  
Murat Canyiğit ◽  
Mete Hıdıroğlu
Keyword(s):  
Endovascular Repair ◽  
Burst Fracture ◽  
Aortic Transection

Functional Outcomes of Nerve Root Sparing Posterior Corpectomy in Lumbar Vertebral Burst Fractures

2021 ◽  
pp. 219256822098412
Author(s):  
Abhinandan Reddy Mallepally ◽  
Nandan Marathe ◽  
Abhinav Kumar Shrivastava ◽  
Vikas Tandon ◽  
Harvinder Singh Chhabra
Keyword(s):  
Blood Loss ◽  
Burst Fracture ◽  
Operating Time ◽  
Deformity Correction ◽  
Neurological Status ◽  
Height Loss ◽  
Vas Score ◽  
Post Surgery ◽  
Burst Fractures ◽  
The Difference

Study Design: Retrospective observational. Objectives: This study aimed to document the safety and efficacy of lumbar corpectomy with reconstruction of anterior column through posterior-only approach in complete burst fractures. Methods: In this retrospective study, we analyzed complete lumbar burst fractures treated with corpectomy through posterior only approach between 2014 and 2018. Clinical and intraoperative data including pre and post-operative neurology as per the ISNCSCI grade, VAS score, operative time, blood loss and radiological parameters, including pre and post-surgery kyphosis, height loss and canal compromise was assessed. Results: A total of 45 patients, with a mean age of 38.89 and a TLICS score 5 or more were analyzed. Preoperative VAS was 7-10. Mean operating time was 219.56 ± 30.15 minutes. Mean blood loss was 1280 ± 224.21 ml. 23 patients underwent short segment fixation and 22 underwent long segment fixation. There was no deterioration in post-operative neurological status in any patient. At follow-up, the VAS score was in the range of 1-3. The difference in preoperative kyphosis and immediate post-operative deformity correction, preoperative loss of height in vertebra and immediate post-operative correction in height were significant (p < 0.05). Conclusion: The posterior-only approach is safe, efficient, and provides rigid posterior stabilization, 360° neural decompression, and anterior reconstruction without the need for the anterior approach and its possible approach-related morbidity. We achieved good results with an all posterior approach in 45 patients of lumbar burst fracture (LBF) which is the largest series of this nature.

Management of a Pregnant Patient with a Burst Fracture Causing Neurologic Injury

2009 ◽  
Vol 91 (7) ◽  
pp. 1747-1749 ◽  
Author(s):  
Christopher J Lenarz ◽  
Catherine M Wittgen ◽  
Howard M Place
Keyword(s):  
Burst Fracture ◽  
Pregnant Patient ◽  
Neurologic Injury

Burst fracture of the spine involving vertebrae presenting no other lesions

2005 ◽  
Vol 29 (6) ◽  
pp. 379-382 ◽  
Author(s):  
Nicolas Amoretti ◽  
Etienne Hovorka ◽  
Pierre-Yves Marcy ◽  
Carinne Lamasse ◽  
Philippe Brunner ◽  
...  
Keyword(s):  
Burst Fracture

scholarly journals Surgical Treatment for Thoraco-lumbar Burst Fracture

2004 ◽  
Vol 53 (4) ◽  
pp. 735-739
Author(s):  
Riki Kiriya ◽  
Toru Fujimoto ◽  
Takao Yuge ◽  
Tokushige Nishizato ◽  
Hiroshi Omiya ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Burst Fracture

scholarly journals Analysis of the independent risk factors of neurologic deficit after thoracolumbar burst fracture

2016 ◽  
Vol 11 (1) ◽  
Author(s):  
Peifu Tang ◽  
Anhua Long ◽  
Tao Shi ◽  
Licheng Zhang ◽  
Lihai Zhang
Keyword(s):  
Risk Factors ◽  
Burst Fracture ◽  
Neurologic Deficit ◽  
Thoracolumbar Burst Fracture ◽  
Independent Risk Factors

scholarly journals Bilateral Traumatic Anterior Dislocation of the Hip with an Unstable Lumbar Burst Fracture

2009 ◽  
Vol 1 (2) ◽  
pp. 114 ◽  
Author(s):  
Kook Jin Chung ◽  
Sang Wha Eom ◽  
Kyu Cheol Noh ◽  
Hong Kyun Kim ◽  
Ji Hyo Hwang ◽  
...  
Keyword(s):  
Burst Fracture ◽  
Anterior Dislocation ◽  
Dislocation Of The Hip

Short Segment Screw Fixation without Fusion for Low Lumbar Burst Fracture: Severe Canal Compromise but Neurologically Intact Cases

2013 ◽  
Vol 9 (2) ◽  
pp. 101 ◽  
Author(s):  
Ui Suk Wang ◽  
Chang Il Ju ◽  
Seok Won Kim ◽  
Hui Sun Wang ◽  
Sung Myung Lee
Keyword(s):  
Screw Fixation ◽  
Burst Fracture ◽  
Short Segment ◽  
Neurologically Intact
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