Thomas Weiß1, Isabella Klöpfer-Krämer2, Stefan Hauck1, Oliver Gonschorek1, Florian Högel3. 1. Department of Trauma Surgery, BG Trauma Centre Murnau, Prof. Küntscher Str. 8, 82418, Murnau, Germany. 2. Institute for Biomechanics, PMU Salzburg and BG Trauma Centre Murnau, Prof. Küntscher Str. 8, 82418, Murnau, Germany. 3. Department of Trauma Surgery, BG Trauma Centre Murnau, Prof. Küntscher Str. 8, 82418, Murnau, Germany. florian.hoegel@bgu-murnau.de.
Abstract
OBJECTIVE: The treatment of thoracic spine (TS) fractures with additional sternal fractures compared to TS fractures without sternal fractures is discussed controversionally, because in some studies it was stated that sternal fractures decrease the thoracic stability. We hypothesized that both types of fractures can be treated the same way by posterior stabilization alone. METHODS: A total number of 69 patients with thoracic fractures, with or without additional sternal fractures, were examined, regarding the angle of kyphosis after fracture, postoperatively and after 6 and 12 months. We also recorded the outcome using the Odom's score and the time until patients returned to work and the activity level. RESULTS: It was found that the angle of kyphosis was nearly physiological after stabilization in both groups and a loss of reduction after 1 year was also comparable, either in the patients suffering from the additional sternal fracture or not. In addition, the Odom's score and the time until return to work and the activity level were comparable in both groups. CONCLUSION: We did not find any arguments to preserve additional anterior stabilization or reasons for different treatment strategies either additional sternal fractures occur in thoracic spine fractures or not.
OBJECTIVE: The treatment of thoracic spine (TS) fractures with additional sternal fractures compared to TS fractures without sternal fractures is discussed controversionally, because in some studies it was stated that sternal fractures decrease the thoracic stability. We hypothesized that both types of fractures can be treated the same way by posterior stabilization alone. METHODS: A total number of 69 patients with thoracic fractures, with or without additional sternal fractures, were examined, regarding the angle of kyphosis after fracture, postoperatively and after 6 and 12 months. We also recorded the outcome using the Odom's score and the time until patients returned to work and the activity level. RESULTS: It was found that the angle of kyphosis was nearly physiological after stabilization in both groups and a loss of reduction after 1 year was also comparable, either in the patients suffering from the additional sternal fracture or not. In addition, the Odom's score and the time until return to work and the activity level were comparable in both groups. CONCLUSION: We did not find any arguments to preserve additional anterior stabilization or reasons for different treatment strategies either additional sternal fractures occur in thoracic spine fractures or not.
Authors: Mario Morgenstern; Christian von Rüden; Hauke Callsen; Jan Friederichs; Sven Hungerer; Volker Bühren; Alexander Woltmann; Christian Hierholzer Journal: Injury Date: 2016-08-29 Impact factor: 2.586
Authors: David Noriega; Gianluca Maestretti; Christian Renaud; Natale Francaviglia; Mourad Ould-Slimane; Steffen Queinnec; Helmut Ekkerlein; Frank Hassel; Rainer Gumpert; Pascal Sabatier; Hervé Huet; Miguel Plasencia; Nicolas Theumann; Alexander Kunsky; Antonio Krüger Journal: Biomed Res Int Date: 2015-12-30 Impact factor: 3.411