Decision making in thoracolumbar fractures

Dashti, Hassan; Lee, Haw Chou; Karaikovic, Eldin E.; Gaines, Robert W.

doi:10.4103/0028-3886.22626

Cited by 9 publications

(12 citation statements)

References 69 publications

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“…Trauma to the thoracic and lumbar vertebra is one of the most common cause of traumatic paraparesis or paraplegia 1,2 . These can occur with or without bowelbladder involvement.…”

Section: Introductionmentioning

confidence: 99%

Unstable dorsolumbar fractures: A prospective series of 94 cases

Basheer

Gupta

Sathyarthi

et al. 2010

The Indian Journal of Neurotrauma

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Dorsolumbar trauma is the most common cause of paraparesis or paraplegia. Optimal goals of the management include establishment of a painless, balanced and stable spinal column with vertebral fusion. We reviewed various types of fractures of dorsolumbar spine, their management and outcome in a prospective study of 94 cases of dorsolumbar trauma managed surgically at our centre (Jan 2008 ? May 2009). All patients underwent complete neurological examination, CT and MR imaging of the spine. Most common mode of injury was fall from height (66%). Majority of the patients belonged to Frankel grade A (66 %). Eighteen patients (19 %) were operated using anterior approach and rest by posterior approach. There was no deterioration in neurological status in any of the patients while 26 patients had improvement. Three cases died out of which one was attributed to associated head injury. We conclude that fall from height is the most common cause of dorsolumbar fracture with majority affected belonging to young population and had significant deficits, thus causing significant burden on the society. Surgical management is safe and helps in early mobilization and rehabilitation, thus facilitating possible neurological recovery.

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“…Trauma to the thoracic and lumbar vertebra is one of the most common cause of traumatic paraparesis or paraplegia 1,2 . These can occur with or without bowelbladder involvement.…”

Section: Introductionmentioning

confidence: 99%

Unstable dorsolumbar fractures: A prospective series of 94 cases

Basheer

Gupta

Sathyarthi

et al. 2010

The Indian Journal of Neurotrauma

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“…The management of dorsolumbar fractures has been the subject of much controversy. There exist different criteria for the choice of the management based on the severity of kyphotic deformity, canal compromise, vertebral height loss, and neurologic Status [1,4,5]. To our knowledge, none of the existing criteria for the treatment of dorsolumbar burst fractures is generally accepted.…”

Section: Introductionmentioning

confidence: 99%

“…Trauma to the thoracic and lumbar vertebra is one of the most common cause of traumatic paraparesis or paraplegia [1,2]. These can occur with or without bowel bladder involvement.…”

Section: Introductionmentioning

confidence: 99%

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Management of unstable Dorsolumbar spine injuries with transpedicular rod and screw fixation

Kansal¹

2013

IOSR-JDMS

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“…[2][3][4] Screwrod anterior constructs are readily available, easy to use, and can apply compression across the graft site.…”

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confidence: 99%

Single Screw-Rod Anterior Instrumentation for Thoracolumbar Burst Fractures with Incomplete Neurological Deficit

Sharma

Singh

et al. 2013

J Orthop Surg (Hong Kong)

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purpose. To evaluate the outcome of single screwrod anterior instrumentation for thoracolumbar burst fractures with incomplete neurological deficit. Methods. 16 men and 5 women aged 22 to 55 (mean, 34) years underwent single screw-rod anterior instrumentation for thoracolumbar burst fractures with incomplete neurological deficit. The vertebrae involved were T10 (n=2), T11 (n=2), T12 (n=7), L1 (n=8), and L2 (n=2). No patient had disruption of the posterior ligament complex. Postoperatively, a thoracolumbar sacral orthosis was used until solid fusion. Outcome measures included neurological recovery, degree of kyphosis, complications, and pain and functional status of the patients. results. The mean follow-up duration was 36 (range, 13-50) months. All patients recovered neurologically by at least one grade. Of the 21 patients, 6 improved from grade B to grade C (n=4) or grade D (n=2), 13 from grade C to grade D, and 2 from grade D to grade E. The mean degree of kyphosis improved from

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Decision making in thoracolumbar fractures

Cited by 9 publications

References 69 publications

Unstable dorsolumbar fractures: A prospective series of 94 cases

Unstable dorsolumbar fractures: A prospective series of 94 cases

Management of unstable Dorsolumbar spine injuries with transpedicular rod and screw fixation

Single Screw-Rod Anterior Instrumentation for Thoracolumbar Burst Fractures with Incomplete Neurological Deficit

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