Radiological outcome of short segment posterior stabilisation and fusion in thoracolumbar spine acute fracture
Annals of the Academy of Medicine, Singapore
; : 140-144, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-237326
Responsible library:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>The optimal management of thoracolumbar spine fractures remains a matter of controversy. The current literature implies that the use of short-segment pedicle screw fixation may be inappropriate because of its high reported failure rate. The purpose of this study is to report the short-term results of thoracolumbar burst and compression fractures treated with short-segment pedicle instrumentation.</p><p><b>MATERIALS AND METHODS</b>From 2002 to 2007, 19 patients with thoracolumbar acute traumatic fractures were instrumented with posterior short-segment pedicle screws. The patients' case notes, operation records, preoperative and postoperative radiographs (sagittal index, anterior body compression and regional kyphosis), computed tomography scans, neurological findings (Frankel functional classification), and follow-up records up to 18 months were reviewed.</p><p><b>RESULTS</b>A statistically significant difference was found between the patients' preoperative, postoperative and follow-up sagittal index, anterior body compression and regional kyphosis measurement. One case resulted in screw pedicle screw pullout and subsequently, kyphotic deformity. The patient underwent revision surgery to long-segment posterior instrumentation and fusion. None of the patients showed an increase in neurological deficit.</p><p><b>CONCLUSION</b>In conclusion, the short-term follow-up results suggest a favourable outcome for short-segment instrumentation. Load shearing classification is essential for the selection of patient for short-segment instrumentation. However, the long-term follow-up evaluation will be needed to verify our findings.</p>
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 6: Information systems for health
Database:
WPRIM (Western Pacific)
Main subject:
Spinal Fusion
/
General Surgery
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Thoracic Vertebrae
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Time Factors
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Wounds and Injuries
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Bone Screws
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Diagnostic Imaging
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Radiography
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Acute Disease
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Retrospective Studies
Type of study:
Diagnostic study
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Etiology study
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Observational study
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Risk factors
Aspects:
Social determinants of health
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Patient-preference
Limits:
Adult
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Female
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Humans
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Male
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2011
Document type:
Article