Evaluation of Thoraco Lumbar Fractures of Spine Managed With Pedicle Screw Fixation
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
Background: The thoracolumbar junction is the most common area of injury to the spine. The forces through kyphotic stiff spine (thoracic) spine switch abruptly into the mobile lordotic lumbar spine at the thoracolumbar junction. Goals of treatment are to maintain the stability & balance of spine without pain along with good neurological function and maximum mobility of spine. This study evaluates the effectiveness of pedicle screw instrumentation in various fractures around the TL spine to overcome the complications encountered in the conservative line of management of these fractures. Materials & Methodology: 20 cases of fractures around the TL spine were operated with posterior pedicle screw fixation one or two level above and below the fracture from November 2012 to March 2014. The cases were followed up for a mean of 7.5 months with radiological and neurological evaluation. Results: The average age groups of the patients studied were 19 to 50 years majority were males, fall from height being the predominant mode of injury involving the T12 and L1 level. Commonest type of fractures are burst unstable fractures. The parameters like radiological sagittal angle & index were recorded before & after the surgery. The ASIA score is used for the grading of neurology condition. Follow-up was done for a minimum of 6 months where sagittal angle reduction achieved was 10.85° at final follow-up from 24.751 preoperatives. The sagittal index achieved at final follow-up was 71.8% compared to the pre-operative mean of 50.6%. The neurological improvement was regarded to be fair enough for the type of injury sustained and fixation achieved. Conclusion: After applying the posterior instrumentation resulted in a reasonable correction of the deformity with a significant reduction in recumbency associated complications; the limiting factor being the small study group and short follow-up period
Authors and Affiliations
Krishnamurthy M. O
Keywords
Related Articles
- EP ID EP208038
- DOI -
- Views 74
- Downloads 0
Role of Inflammation in Developing Cardiovascular Risk in Prehypertensive & Hypertensive Patients
Background: Hypertension is an important worldwide public-health challenge because of its high frequency and concomitant risks of cardiovascular and kidney disease. Due to its high mortality and morbidity early diagnosis...
Assessment of Laboratory Practitioner’s Competency in Kenya
Introduction: There has been increasing interest to improve the quality of laboratory services world- wide including in many resource poor countries. In tandem with this need, the Kenya government recognizes the delivery...
Diagnostic Role of FOB in Radiological Hilar and Parahilar Shadow of Patients Reporting at Tertiary Care Centre
Fiberoptic bronchoscopy (FOB) is an important procedure for diagnosis of different respiratory problems. The present study was conducted to evaluate the diagnostic role of FOB in Hilar & Parahilar shadows and also to eva...
Unusual Causes of Large Bowel Perforation – A Report of Three Cases
Large bowel perforations are commonly caused due to malignancy and inflammatory disorders. Large bowel perforations due to causes like stercoral perforation, idiopathic perforation and spontaneous perforation associated...
Study of the severity of Diabetic Retinopathy in patients with duration of Diabetes mellitus longer than 10 years – a study from a tertiary care hospital in North- India
Background: Diabetic retinopathy is one of the most common complications of Diabetes Mellitus causing significant visual loss on a global scale. Purpose: To evaluate the severity of Diabetic retinopathy in diabetics of d...