Outcome of Unstable Thoracolumbar Fracture Following Long Segment Posterior Fixation

Choudhury, Abdullah Al Mamun; Alam, Shah; Azad, Abul Kalam; Akhter, Kohinoor

doi:10.3329/jbcps.v39i2.52410

Cited by 2 publications

(7 citation statements)

References 27 publications

(32 reference statements)

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“…The time interval from injury to surgery time was 5.5 days for one of the studies, 18 and 14-21 days for the other one. 14 It was 2.87±1.97 days in our study and 1 day in a study. 23 Studies have shown better outcomes with less interval from injury to surgery.…”

Section: Discussionsupporting

confidence: 50%

“…The final VAS score in our study was 14.37±12.08 which was similar to the final VAS score of 16.4±8.9 in the study. 14 The VAS score was lower in other studies. 11 , 26 A total of 27 (90%) cases in our study had mild pain and 3 (10%) had moderate pain at the final follow-up.…”

Section: Discussionmentioning

confidence: 56%

“… 18 Other studies also had similar finding similar age groups. 11 , 14 The cause of burst fractures varies. Fall was the most common mode of injury in our study.…”

Section: Discussionmentioning

confidence: 99%

“… 11 It was a very high number of cases of fall injury in another study. 14 In western countries, road traffic accidents account for the most common cause of injury. 10 , 12 …”

Section: Discussionmentioning

confidence: 99%

“…Most of the patients were manual workers by occupation according to a study. 14 As agriculture is the main source of income in our country and male often go out to farms and the jungle to work, it might be the main reason for their injury.…”

Section: Discussionmentioning

confidence: 99%

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Thoraco-lumbar Burst Fractures among Patients Admitted to Spine Unit of the Department of Orthopedics of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Gautam¹,

Paudel²,

Panta³

2023

J Nepal Med Assoc

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Introduction: Burst fractures are the most common fractures in the thoracolumbar junction. Unstable burst fractures are mostly associated with neural injury. Early neurological and mechanical stabilisation are the goals of treatment. The aim of this study was to find out the prevalence of thoracolumbar burst fractures among patients admitted to the spine unit of the Department of Orthopedics of a tertiary care centre. Methods: This descriptive cross-sectional study was done in a tertiary care centre from 1 January 2021 to 31 December 2021 after receiving ethical approval from the Institutional Review Committee (Reference number: 079/80-11/BHG). Demographic details, mode of injury, morphology, neurological level, and neurological grade using the American Association of Spinal injury, Visual analogue Scale, Oswestry Disability Index and kyphotic angle were recorded. A convenience sampling method was used. Point estimate and 90% Confidence Interval were calculated. Results: Among 85 patients, the thoracolumbar burst fractures was found in 30 (35.25%) (26.73-43.77, 90% Confidence Interval). The mean age of patients was 39.73±13.91 years. Conclusions: The prevalence of thoracolumbar burst fracture was similar to other studies done in similar settings.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 56%

“… 18 Other studies also had similar finding similar age groups. 11 , 14 The cause of burst fractures varies. Fall was the most common mode of injury in our study.…”

Section: Discussionmentioning

confidence: 99%

“… 11 It was a very high number of cases of fall injury in another study. 14 In western countries, road traffic accidents account for the most common cause of injury. 10 , 12 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Thoraco-lumbar Burst Fractures among Patients Admitted to Spine Unit of the Department of Orthopedics of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Gautam¹,

Paudel²,

Panta³

2023

J Nepal Med Assoc

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Outcome of Long Segment Posterior Spinal Stabilization Incorporating the Fractured Vertebra for Unstable Thoraco-Lumbar Junctional Brust Fracture

Islam¹,

Saha²,

Siddique³

2023

Jap J Clin & Med Res

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Objectives: To evaluate the outcome of long segment posterior spinal stabilization incorporating the fractured vertebra with posterolateral fusion for unstable thoraco-lumbar junctional brust fracture. Background: Thoracolumbar junction is the commonest site of traumatic spinal injury. Now a days, it is managed surgically most of the time because it is often associated with the spinal cord injury. Its mode of surgical management is a field of controversy. Huge debate is still going on between the superiority of long & short segment stabilization. In this study, we evaluated the outcome of long segment posterior spinal stabilization incorporating the fractured vertebra Materials & Method: This prospective interventonal study included 30 case of thoraco-lumbar junctional unstable brust fractures was carried out in the Spine unit of Orthopaedic surgery department of Bangabandhu Sheikh Mujib Medical University, Dhaka and other private hospital in Dhaka City, Bangladesh, from January 2016 to July 2022. All the patients with positive clinical findings, X-ray, MRI & CT scan findings and underwent long segment posterior spinal stabilization incorporating the fractured vertevra with posterolateral fusion. Average follow-up period was 12 months. Pre & Post-operatively, neurological assessment was done by the ASIA Impairment Score, improvement of pain control by VAS score, fusion rate by Bridwell’s criteria, Kyphotic angle was measured by Cobb’s angle measurement method & Overall functional assessment by modified Odom’s score. Results: Total number of patients was 30. Average age was 34 years (range 21- 47). ASIA score improved from B to C in 5 patients, B to D in 5 patients, C to D in 8 patients , C to E in 3 patients, patients, D to E in 7 patients. 2 patient did not improved following surgery. Fusion was achieved in 29 patients & 1 patient developed pseudoarthrosis. Pre & Post- operative VAS score was 7.30±1.9 & 3.3±1.8 respectively. The average kyphotic correction was 15 ∞. In our series, we have no bedridden patients after surgery. There was no radiographic progression after surgery. Conclusion: Early treatment within 21 days of injury with long segment posterior spinal stabilization incorporating the fractured vertevra with posterolateral fusion is a very effective surgical procedure with preservation of the motion segment to treat unstable thoracolumbar junctional brust fracture.

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Outcome of Unstable Thoracolumbar Fracture Following Long Segment Posterior Fixation

Cited by 2 publications

References 27 publications

Thoraco-lumbar Burst Fractures among Patients Admitted to Spine Unit of the Department of Orthopedics of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Thoraco-lumbar Burst Fractures among Patients Admitted to Spine Unit of the Department of Orthopedics of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Outcome of Long Segment Posterior Spinal Stabilization Incorporating the Fractured Vertebra for Unstable Thoraco-Lumbar Junctional Brust Fracture

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