Short-Segment Fixation of Thoracolumbar Fractures with Incorporated Screws at the Level of Fracture

被引:27
作者
El Behairy, Hassan Fathy [1 ]
M Abdelaziz, Ashraf [1 ]
Saleh, Ayman K. [2 ,3 ]
Elsherief, Faisal Ahmed Hashem [1 ]
Abuomira, Ibrahim Elsayed Abdellatif [1 ]
Elkawary, Ahmed Ibrahim [1 ]
Aldahshan, Wael [1 ]
Mahmoud, Wael Sh [1 ]
机构
[1] Al Azhar Univ, Alzhraa Univ Hosp, Fac Med Girls, Cairo 11517, Egypt
[2] Al Azhar Univ, Cairo, Egypt
[3] Prince Sattam Bin Abdulaziz Univ, Coll Med, Surg Dept, Riyadh, Saudi Arabia
关键词
Intermediate screw; Short-segment fixation; Thoracolumbar fracture; BURST FRACTURES; PEDICLE SCREW; INTERMEDIATE SCREWS; INSTRUMENTATION; CLASSIFICATION;
D O I
10.1111/os.12590
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
Objective To evaluate the effect of including the fractured vertebra in the short-segment fixation of thoracolumbar (TL) fractures. Methods A total of 32 patients with thoraco-lumbar fractures, selected between August 2013 and February 2016, were managed by short-segment fixation with screws at the level of the fracture, and decompression was performed only for patients with neurological deficits. The patients' functional outcome was assessed using the visual analogue scale (VAS) score for pain and the American Spinal Injury Association (ASIA) score for neurological condition. All patients were followed up with radiographs. Results Patients with complete neurologic deficits (n = 3) did not show any neurologic recovery. All ASIA B patients improved to ASIA C. Five ASIA C patients improved to ASIA E. The remaining five ASIA C patients improved to ASIA D. All ASIA D patients improved to ASIA B. At the final follow-up examination, the mean anterior vertebral height was 21 +/- 5 mm, indicating no significant height loss during the follow-up period. Conclusion Short-segment fixation of TL fractures with inclusion of the fracture level into the construct offers good correction of segmental kyphosis, vertebral wedging, and vertebral height loss.
引用
收藏
页码:170 / 176
页数:7
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