OUTCOME OF EARLY AND LATE SURGERY OF THORACO-LUMBAR UNSTABLE BURST FRACTURES

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PEYVANDI M.T.; GHAYEM HASANKHANI E.; GHARAHDAGHI M.; SAHEB JAMEI A.

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Journal: Internal Medicine Today Year:2009 | Volume:15 | Issue:1 Page(s): 61-64

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Title

OUTCOME OF EARLY AND LATE SURGERY OF THORACO-LUMBAR UNSTABLE BURST FRACTURES

Author(s)

PEYVANDI M.T. | GHAYEM HASANKHANI E. | GHARAHDAGHI M. | SAHEB JAMEI A. | Issue Writer Certificate

Keywords

DELAYQ3

EARLYQ3

SURGERYQ2

UNSTABLE BURSTQ3

THORACOLOMBARQ3

Abstract

Background and Aim: Indirect reduction and posterior instrumentation with short –segment pedicle screw is the method of choice for treatment of UNSTABLE BURST thoraco-lumbar fractures. The literature regarding the time of SURGERY and its effect on outcome of thoraco-lumbar UNSTABLE BURST fractures is sparse. The aim of this study is to evaluate the efficacy of EARLY and late SURGERY on the outcome of thoraco – lumber UNSTABLE BURST fractures.Materials and Methods: Patients with UNSTABLE BURST thoraco-lumbar fractures were included in this prospective review of patients treated with indirect reduction and short - segment pedicle screw fixation between 2000-2004.The mean follow up period was 42 months (range from 16 to 66 months). Radiographic analysis was evaluated pre and post-operatively and clinical evaluation was performed postoperatively and at follow - up review. Results: The mean time of SURGERY was 11 days after injury (form 2 to 33 days). 35 patients underwent EARLY SURGERY (2-15 days after injury) (Group A) and 15 patients had late SURGERY (15-33 days after injury) (Group B). In group A the anterior vertebral height (A.V.H) was improved from a median preoperative of 20.5 mm to 39.5 mm (37% correction), and sagittal alignment (S.A) was improved from a mean preoperative kyphosis of 20.4 degrees to 1/5 degrees. In group B the anterior vertebral height (A.V.H) was improved from a mean preoperative of 20.3mm to 28/2 mm (24.5 % correction) and sagittal alignment (S.A) was improved from a mean preoperative Kyphosis of 20.5 degrees to 8.4 degrees. At final follow – up observation a mean kyphosis of 4 degrees was increased in group B. Conclusion: EARLY indirect reduction and posterior stabilization (with short - segment pedicle screw) of UNSTABLE BURST thoraco - lumbar fractures allows a satisfactory reduction and correction of deformity.

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APA: Copy

PEYVANDI, M.T., GHAYEM HASANKHANI, E., GHARAHDAGHI, M., & SAHEB JAMEI, A.. (2009). OUTCOME OF EARLY AND LATE SURGERY OF THORACO-LUMBAR UNSTABLE BURST FRACTURES. OFOGH-E-DANESH, 15(1), 61-64. SID. https://sid.ir/paper/68723/en

Vancouver: Copy

PEYVANDI M.T., GHAYEM HASANKHANI E., GHARAHDAGHI M., SAHEB JAMEI A.. OUTCOME OF EARLY AND LATE SURGERY OF THORACO-LUMBAR UNSTABLE BURST FRACTURES. OFOGH-E-DANESH[Internet]. 2009;15(1):61-64. Available from: https://sid.ir/paper/68723/en

IEEE: Copy

M.T. PEYVANDI, E. GHAYEM HASANKHANI, M. GHARAHDAGHI, and A. SAHEB JAMEI, “OUTCOME OF EARLY AND LATE SURGERY OF THORACO-LUMBAR UNSTABLE BURST FRACTURES,” OFOGH-E-DANESH, vol. 15, no. 1, pp. 61–64, 2009, [Online]. Available: https://sid.ir/paper/68723/en

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