Neurologically Intact Fracture-Dislocations of the Thoracolumbar Spine

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Küçük Resim

Tarih

2001

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Purpose: In this study, we presented ten neurologically intact fracture-dislocations of the thoracolumbar spine which are extremely rare, and reported the results of treatment. Methods: Ten fracture-dislocations of the thoracolumbar spine were treated in a period of nine years. Surgical reduction and stabilization were performed in six patients. Four patients rejected surgery and were treated conservatively. The average follow-up was 55 months. Results: During the conservative course of treatment, surprisingly, the neurologic status did not deteriorate. However, varying degrees of pain and roentgenographic deterioration of spinal alignment and canal compromise were detected. In the operated group, there were also no deteriorations in the neurologic status and the roentgenograms revealed no serious loss of reduction. One of the patients from the conservative group and two of the patients from the operative group were able to return to their pre-injury works. Conclusion: Surgical treatment was satisfactory, both clinically and radiologically, in a group of patients with thoracolumbar fracture-dislocations. Well-known drawbacks of conservative treatment, including long-term bed-rest, social and economic losses and long-lasting treatment, led us to favor surgical treatment.

Açıklama

Anahtar Kelimeler

Fracture-dislocations, Thoracolumbar spine, Without paralysis

Kaynak

Journal of Musculoskeletal Research

WoS Q Değeri

Scopus Q Değeri

Q4

Cilt

5

Sayı

1

Künye

Öğün, T. C., Özdemir, M., Arazi, M., Kapıcıoğlu, M. İ. S., Kutlu, A., (2001). Neurologically Intact Fracture-Dislocations of the Thoracolumbar Spine. Journal of Musculoskeletal Research, 5(1), 53-60. Doi: 10.1016/S0218-9577(01)00039-8