OPERATIVE COMPARED WITH NONOPERATIVE TREATMENT OF A THORACOLUMBAR BURST FRACTURE WITHOUT NEUROLOGICAL DEFICIT

2003 ◽  
Vol 85 (5) ◽  
pp. 773-781 ◽  
Author(s):  
K. WOOD ◽  
G. BUTTERMAN ◽  
A. MEHBOD ◽  
T. GARVEY ◽  
R. JHANJEE ◽  
...  
Keyword(s):  
Neurological Deficit ◽  
Burst Fracture ◽  
Nonoperative Treatment ◽  
Thoracolumbar Burst Fracture

Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit

2015 ◽  
Vol 97 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Kirkham B. Wood ◽  
Glenn R. Buttermann ◽  
Rishabh Phukan ◽  
Christopher C. Harrod ◽  
Amir Mehbod ◽  
...  
Keyword(s):  
Neurological Deficit ◽  
Burst Fracture ◽  
Nonoperative Treatment ◽  
Thoracolumbar Burst Fracture

Relation Between Severity of Injury and Neurological Deficit in Thoracolumbar Burst Fracture

2016 ◽  
Vol 29 (5) ◽  
pp. 208-211 ◽  
Author(s):  
Guangzhou Lee ◽  
Qing Wang ◽  
Dejun Zhong ◽  
Shen Li ◽  
Jianping Kang
Keyword(s):  
Neurological Deficit ◽  
Burst Fracture ◽  
Thoracolumbar Burst Fracture ◽  
Severity Of Injury

Comparison of operative and nonoperative treatment for thoracolumbar burst fractures in patients without neurological deficit: a systematic review

2006 ◽  
Vol 4 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Kenneth C. Thomas ◽  
Christopher S. Bailey ◽  
Marcel F. Dvorak ◽  
Brian Kwon ◽  
Charles Fisher
Keyword(s):  
Neurological Deficit ◽  
Data Extraction ◽  
Scientific Evidence ◽  
Burst Fracture ◽  
Nonoperative Treatment ◽  
Thoracolumbar Burst Fractures ◽  
Posttraumatic Kyphosis ◽  
Burst Fractures ◽  
Related Quality ◽  
Health Related

Object Despite extensive published research on thoracolumbar burst fractures, controversy still surrounds which is the most appropriate treatment. The objective of this study was to evaluate the scientific literature on operative and nonoperative treatment of patients with thoracolumbar burst fractures and no neurological deficit. Methods In their search of the literature, the authors identified all possible relevant studies concerning thoracolumbar burst fracture without neurological deficit. Two independent observers performed study selection, methodological quality assessment, and data extraction in a blinded and objective manner for all papers identified during the search. In a synthesis of the literature, the authors obtained evidence for both operative and nonoperative treatments. Conclusions There is a lack of evidence demonstrating the superiority of one approach over the other as measured using generic and disease-specific health-related quality of life scales. There is no scientific evidence linking posttraumatic kyphosis to clinical outcomes. The authors found that there is a strong need for improved clinical research methodology to be applied to this patient population.

Nonoperative Treatment

2007 ◽  
Vol 6 (1) ◽  
pp. 97 ◽  
Author(s):  
Stephen E. Natelson
Keyword(s):  
Neurological Deficit ◽  
Data Extraction ◽  
Scientific Evidence ◽  
Burst Fracture ◽  
Nonoperative Treatment ◽  
Thoracolumbar Burst Fractures ◽  
Posttraumatic Kyphosis ◽  
Burst Fractures ◽  
Related Quality ◽  
Health Related

Object Despite extensive published research on thoracolumbar burst fractures, controversy still surrounds which is the most appropriate treatment. The objective of this study was to evaluate the scientific literature on operative and nonoperative treatment of patients with thoracolumbar burst fractures and no neurological deficit. Methods In their search of the literature, the authors identified all possible relevant studies concerning thoracolumbar burst fracture without neurological deficit. Two independent observers performed study selection, methodological quality assessment, and data extraction in a blinded and objective manner for all papers identified during the search. In a synthesis of the literature, the authors obtained evidence for both operative and nonoperative treatments. Conclusions There is a lack of evidence demonstrating the superiority of one approach over the other as measured using generic and disease-specific health-related quality of life scales. There is no scientific evidence linking posttraumatic kyphosis to clinical outcomes. The authors found that there is a strong need for improved clinical research methodology to be applied to this patient population.

scholarly journals Minimally Invasive Spine Surgery for Unstable Thoracolumbar Burst Fractures: A Case Series

2016 ◽  
Vol 02 (04) ◽  
pp. e131-e138 ◽  
Author(s):  
Nitin Agarwal ◽  
Phillip Choi ◽  
Raymond Sekula
Keyword(s):  
Pedicle Screw ◽  
Screw Fixation ◽  
Burst Fracture ◽  
Pedicle Screw Fixation ◽  
Thoracolumbar Burst Fracture ◽  
Thoracolumbar Burst Fractures ◽  
Percutaneous Pedicle Screw ◽  
Percutaneous Pedicle Screw Fixation

Introduction Traumatic thoracolumbar burst fracture is a common pathology without a clear consensus on best treatment approach. Minimally invasive approaches are being investigated due to potential benefits in recovery time and morbidity. We examine long-term resolution of symptoms of traumatic thoracolumbar burst fractures treated with percutaneous posterior pedicle screw fixation. Methods Retrospective clinical review of seven patients with spinal trauma who presented with thoracolumbar burst fracture from July 2012 to April 2013 and were treated with percutaneous pedicle screw fixation. Electronic patient charts and radiographic imaging were reviewed for initial presentation, fracture characteristics, operative treatment, and postoperative course. Results The patients had a median age of 29 years (range 18 to 57), and 57% were men. The median Thoracolumbar Injury Classification and Severity Scale score was 4 (range 2 to 9). All patients had proper screw placement and uneventful postoperative courses given the severity of their individual traumas. Five of seven patients were reached for long-term follow-up of greater than 28 months. Six of seven patients had excellent pain control and stability at their last follow-up. One patient required revision surgery for noncatastrophic hardware failure. Conclusion Percutaneous pedicle screw fixation for the treatment of unstable thoracolumbar burst fracture may provide patients with durable benefits and warrants further investigation.

The mechanism of thoracolumbar burst fracture may be related to the basivertebral foramen

2018 ◽  
Vol 18 (3) ◽  
pp. 472-481
Author(s):  
Xuyang Zhang ◽  
Shengyun Li ◽  
Xing Zhao ◽  
Blaine A. Christiansen ◽  
Jian Chen ◽  
...  
Keyword(s):  
Burst Fracture ◽  
Thoracolumbar Burst Fracture
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