Torakolomber Burst Kırığına Bağli Anterior Dural Laserasyon
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Dosyalar
Tarih
2003
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çal›flmada, torakolomber burst k›r›¤›nda anterior dural yaralanma insidans›, önceden tesbiti
ve tedavi prensipleri araflt›r›lm›flt›r.
Gereç ve yöntem: Yafl ortalamas› 42 olan 3 hastada anterior dekompresif cerrahi esnas›nda anterior
dural yaralanma tesbit edildi. Hastalar›n ameliyat öncesi ve sonras› klinik ve radyolojik bulgular› retrospektif olarak analiz edildi. Ortalama takip süresi 20 ayd›r.
Bulgular: 35 burst k›r›¤›ndan 3’ünde (%8.2) anterior dural yaralanma saptand›. ‹ki hastada y›rt›k primer
olarak tamir edildi. Tüm hastalar son kontrollerinde nörolojik olarak normaldi ve herhangi bir beyinomurilik s›v›s› kaç›fl›na rastlanmad›.
Sonuçlar: Torakolomber burst k›r›klar›nda anterior dural yaralanma, preoperatif olarak tesbiti oldukça
güçtür. Nörolojik defisit ve kemik fragman›n spinal kanal içine asimetrik retropulsiyonunda dural
yaralanmadan flüphe edilmelidir
Background: This study investigated the incidence, prediction, and treatment principles of anterior dural laseartion due to thoracolumbar burst farcture. Methods: Three anterior dural tears were found during anterior decompressive spine surgery. The average age was 42. Preoperative neurologic status and radiologic datas of the patients were analyzed retrospectively. The average follow-up was 20 months. Results: Anterior dural tears detected in 3 (8.2%) of 35 burst fractures. Primary repair were performed in two patients. There were no cerebro-spinal fluid leakage perioperatively and all patients were neurologically intact at the final follow-up. Conclusion: It is too difficult to detect anterior dural tear before surgery. Anterior dural tear should be suspected in patient with neurologic deficit and asimetric bony retropulsion into the spinal canal.
Background: This study investigated the incidence, prediction, and treatment principles of anterior dural laseartion due to thoracolumbar burst farcture. Methods: Three anterior dural tears were found during anterior decompressive spine surgery. The average age was 42. Preoperative neurologic status and radiologic datas of the patients were analyzed retrospectively. The average follow-up was 20 months. Results: Anterior dural tears detected in 3 (8.2%) of 35 burst fractures. Primary repair were performed in two patients. There were no cerebro-spinal fluid leakage perioperatively and all patients were neurologically intact at the final follow-up. Conclusion: It is too difficult to detect anterior dural tear before surgery. Anterior dural tear should be suspected in patient with neurologic deficit and asimetric bony retropulsion into the spinal canal.
Açıklama
Anahtar Kelimeler
Burst kırığı, Dural laserasyon, Burst fracture
Kaynak
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
9
Sayı
1
Künye
Ozdemir, M., Ogün, T., Kapicioglu, M. İ. S., (2003). Torakolomber Burst Kırığına Bağli Anterior Dural Laserasyon, Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 9(1), 57-61.
