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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Management of Unstable Thoraco-Lumbar Fractures with Pedicular Screw Instrumentation: A Series of 30 cases
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Management of Unstable Thoraco-Lumbar Fractures with Pedicular Screw Instrumentation: A Series of 30 cases

机译:椎弓根螺钉内固定治疗不稳定型胸腰椎骨折30例

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Introduction: Trauma to spine is one of the grave injuries. They cause infinite morbidity and disability to the patient. Lately consensus is evolving across the world for stabilization of unstable spines with fusion and instrumentation even though most authors agree that neurological recovery is independent of treatment modality. Objectives of this study are to evaluate effectiveness of spinal stabilization with pedicular instrumentation in the management of thoraco-lumbar fractures to restore structural stability, early ambulation and improving neurological status of the patient.Material and Methods: During the period from October 2009 to September 2010, 33 cases of thoraco-lumbar spine fractures were treated operatively with posterior decompression and pedicular screw instrumentation. Of these, 3 cases were lost to follow up. Hence the results of 30 cases were evaluated. All patients were treated by posterior decompression and pedicular screw instrumentation. Neurological and radiological parameters were assessed during serial follow-ups.Observation and Results: The mean duration of follow-up was 11 months. Of the 30 patients 24 showed neurological improvement by at least 1 grade and average grade of improvement was 1.5 grades. Mean pre-operative sagittal angle (SA) was 19.9 degrees and sagittal index (SI) was 0.54. Mean post-operative SA was 9.3 degrees and SI was 0.72. Mean SA and SI during the final follow-up were 10.9 degrees and 0.69 respectively.Discussion and Conclusion: Neurological recovery and maintenance of radiological correction in our study were comparable to other studies. The results in our short series of 30 cases have been encouraging. But there is need for more cases and longer follow-ups to come to categorical conclusion.
机译:简介:脊柱外伤是严重的伤害之一。它们会给患者带来无限的发病率和残疾。尽管大多数作者都认为神经恢复与治疗方式无关,但最近通过融合和器械稳定不稳定脊柱的共识正在全球范围内发展。这项研究的目的是评估椎弓根固定术在胸腰椎骨折治疗中的有效性,以恢复患者的结构稳定性,早期下床活动和改善患者的神经状况。材料与方法:2009年10月至2010年9月后路减压联合椎弓根螺钉内固定治疗33例胸腰段脊柱骨折。其中,有3例失访。因此,对30例病例的结果进行了评估。所有患者均接受后路减压和椎弓根螺钉器械治疗。连续随访期间评估神经和放射学参数。观察和结果:平均随访时间为11个月。在30例患者中,有24例神经功能改善至少1级,平均改善等级为1.5级。术前平均矢状角(SA)为19.9度,矢状指数(SI)为0.54。术后平均SA为9.3度,SI为0.72。最终随访期间的平均SA和SI分别为10.9度和0.69。讨论和结论:本研究中神经系统的恢复和放射学校正的维持与其他研究相当。我们简短的30例案例的结果令人鼓舞。但是需要更多的案例和更长时间的随访才能得出明确的结论。

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