Management of burst fractures in the thoracolumbar spine

被引：75

作者：

Cahueque, Mario ^{[1
]}

Cobar, Andres ^{[1
]}

Zuniga, Carlos ^{[1
]}

Caldera, Gustavo ^{[2
]}

机构：

[1] Ctr Med Nacl Occidente, Belisario Dominguez 1000, Guadalajara 44340, Jalisco, Mexico

[2] Ctr Med Nacl Occidente, Orthoped, Guadalajara, Jalisco, Mexico

来源：

JOURNAL OF ORTHOPAEDICS | 2016年 / 13卷 / 04期

关键词：

Thoracolumbar spine; Compression fracture; Burst fracture; Neurological deficit; Conservative treatment; Surgical treatment;

D O I：

10.1016/j.jor.2016.06.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The most common fractures in the spine take place in the thoracolumbar region. Currently there is no consensus regarding optimum treatment. Objective: Analyze the current medical literature available regarding treatment of compression fractures of the thoracolumbar spine. Methods: Research of current literature in medical databases. Results: Regarding current available literature, we found no consensus in the treatment of compression fractures in the thoracolumbar spine. Conclusions: Burst fractures of the thoracolumbar junction is a very common condition, treatment of each patient must be individualized. Conservative treatment is recommended for stable fractures without neurological compromise and less than 35 degrees of kyphosis. (C) 2016 Prof. PK Surendran Memorial Education Foundation. Published by Elsevier, a division of Reed Elsevier India, Pvt. Ltd. All rights reserved.

引用

页码：278 / 281

页数：4

共 59 条

[51] Nonoperative Treatment of Thoracic and Lumbar Spine Fractures: A Prospective Randomized Study of Different Treatment Options [J].

Stadhouder, Agnita ;

Buskens, Erik ;

Vergroesen, Diederik A. ;

Fidler, Malcolm W. ;

de Nies, Frank ;

Oner, F. C. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2009, 23 (08) :588-594

[52] Injury of the posterior ligament complex in patients with acute spinal trauma: Evaluation by MR imaging [J].

Terk, MR ;

HumeNeal, M ;

Fraipont, M ;

Ahmadi, J ;

Colletti, PM .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 168 (06) :1481-1486

[53] Comparison of operative and nonoperative treatment for thoracolumbar burst fractures in patients without neurological deficit: a systematic review [J].

Thomas, KC ;

Bailey, CS ;

Dvorak, MF ;

Kwon, B ;

Fisher, C .

JOURNAL OF NEUROSURGERY-SPINE, 2006, 4 (05) :351-358

[54] Posterior Short-segmental Fixation Combined With Intermediate Screws vs Conventional Intersegmental Fixation for Monosegmental Thoracolumbar Fractures [J].

Tian, Ji-wei ;

Wang, Lei ;

Xia, Tian ;

Liu, Cheng-yi ;

Zhao, Qing-hua ;

Dong, Shuang-hai .

ORTHOPEDICS, 2011, 34 (08) :594-594

[55] Surgical decision making for unstable thoracolumbar spine injuries -: Results of a consensus panel review by the Spine Trauma Study Group [J].

Vaccaro, AR ;

Lim, MR ;

Hurlbert, RJ ;

Lehman, RA ;

Harrop, J ;

Fisher, DC ;

Dvorak, M ;

Anderson, DG ;

Zeiller, SC ;

Lee, DY ;

Fehlings, MG ;

Öner, FC .

JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2006, 19 (01) :1-10

[56]

Vaccaro AR, 2005, J SPINAL DISORD TECH, V18, P209

[57]

Valdevit Antonio, 2005, Spine J, V5, P441, DOI 10.1016/j.spinee.2005.03.010

[58] Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit - A prospective, randomized study [J].

Wood, K ;

Butterman, G ;

Mehbod, A ;

Garvey, T ;

Jhanjee, R ;

Sechriest, V .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (05) :773-781

[59] Assessment of two thoracolumbarfracture classification systems as used by multiple surgeons [J].

Wood, KB ;

Khanna, G ;

Vaccaro, AR ;

Arnold, PM ;

Harris, MB ;

Mehbod, AA .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) :1423-1429

← 1 2 3 4 5 6 →