TREATMENT AND RESULTS IN VERTEBRAL FRACTURES WITH NEUROLOGIC DEFICITS
Journal Title: Journal of Turkish Spinal Surgery - Year 1995, Vol 6, Issue 1
Abstract
The operations performed in order to maintain normal anatomy and stabilization of the spinal canal in verte-bral injuries have frequently been a matter of discussion. The relationship betvveen neurologic healing and correc-tion of the spinal canal is not very clear. Neurologic findings of the cases at admission, preoperative and posto-perative examination were grouped according to Frankel classification. Dislocation angulation of the bones and their pressure on the neurologic tissues were evaluated with AP and lateral X-rays and Computerized Tomogra-phy (CT) of spine. Conservative management and internal stabilization with laminectomy and laminectomy plus posterior instru-mentation were performed. Their neurologic State were followed up for one year minimum. We observed that the level of neurologic healing was not in correlation with the ratio of the correction in cases of preoperative advanced vertebral dislocation. Neurologic progress of our cases in which decompression was obtained with early laminectomy was better at the beginning, but later, pain occured and neurodeficit increased with deformity.
Authors and Affiliations
H. Erdem AK, Ümit ÖZKAN, Safinaz ATAOĞLU
Keywords
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