Neurologically Intact Fracture-Dislocations of the Thoracolumbar Spine
Yükleniyor...
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
