AIM: The radiological and clinical outcome of surgical treated thoracolumbal fractures were followed up after 6.7 years. METHOD: The study encompassed 97 patients. The degrees of the bony deformation and the local kyphosis were measured on the lateral view X-ray at 4 different time points: post trauma, after the operation, before implant removal and at the follow up examination. The clinical outcome was evaluated by the Oswestry score. RESULTS: 74 fractures were treated with a fixateur intern and a dorsal fusion by apposition of autologous bone postero-laterally. 23 fractures were fused in a combined dorso-ventral manner by intervertebral fusion with tricortical autologous bone. The lateral X-rays showed a loss of correction up to 48 % in the dorsal fused group and 10 % loss of correction in the combined group. The local kyphosis increased up to 84 % in the dorsal operated group due to degeneration of the injured disk. The clinical Oswestry score showed no significant difference in both groups. CONCLUSION: The additional ventral surgery should be evaluated carefully.
AIM: The radiological and clinical outcome of surgical treated thoracolumbal fractures were followed up after 6.7 years. METHOD: The study encompassed 97 patients. The degrees of the bony deformation and the local kyphosis were measured on the lateral view X-ray at 4 different time points: post trauma, after the operation, before implant removal and at the follow up examination. The clinical outcome was evaluated by the Oswestry score. RESULTS: 74 fractures were treated with a fixateur intern and a dorsal fusion by apposition of autologous bone postero-laterally. 23 fractures were fused in a combined dorso-ventral manner by intervertebral fusion with tricortical autologous bone. The lateral X-rays showed a loss of correction up to 48 % in the dorsal fused group and 10 % loss of correction in the combined group. The local kyphosis increased up to 84 % in the dorsal operated group due to degeneration of the injured disk. The clinical Oswestry score showed no significant difference in both groups. CONCLUSION: The additional ventral surgery should be evaluated carefully.
Authors: Uta Lange; Sebastian Edeling; Christian Knop; Leonard Bastian; Michael Oeser; Christian Krettek; Michael Blauth Journal: Eur Spine J Date: 2006-05-13 Impact factor: 3.134
Authors: Erin E A De Gendt; Timon F G Vercoulen; Andrei F Joaquim; Wei Guo; Emiliano N Vialle; Gregory D Schroeder; Klaus S Schnake; Alexander R Vaccaro; Lorin Michael Benneker; Sander P J Muijs; F Cumhur Oner Journal: Global Spine J Date: 2020-12-07