Decision-Making Process in Patients with Thoracolumbar and Lumbar Burst Fractures with Thoracolumbar Injury Severity and Classification Score Less than Four

摘要

Study Design Cross-sectional. Purpose To develop a strategy to determine a sound method for decision-making based on postoperative clinical outcome satisfaction. Overview of Literature The ideal management of thoracolumbar and lumbar burst fractures (TLBF) without neurological compromise remains controversial. Methods This was a prospective study. Patients with thoracolumbar injury severity and classification score (TLICS) Results In all 113 patients with T11–L5, TLBFs were treated. The patients' mean age was 49.2 years. Patients successfully completed either nonoperative (n=99) or surgical (n=14) treatment based on ODI. Clinical examinations revealed that all of the patients had intact neurology. The mean follow-up period was 29.5 months. There was a significant difference between the two groups based on age and residual canal. The mean ODI score significantly improved for both groups ( p Conclusions The findings confirm that TLICS.