HARRI-LUQUE METHOD İN SURGICAL TREATMENT OF THE THORACOLUMBAR SPINE FRACTURES
Journal Title: Journal of Turkish Spinal Surgery - Year 1997, Vol 8, Issue 2
Abstract
26 patients who had thoracolumbar spine fractures were treated with Harrington rods and segmental sublaminar wires between 1992-1995, in department of orthopaedics and traumatoiogy; in Haydarpaşa Numune Hospital, İstanbul. Because of the neurologic findings, anterior decompression and grafting in addition to the posterior instrumentation were done in two patients. Average “follow-up time was 14 months (7-25). There were 23 fractures in 20 patients, who had enough follow-up. 16 of them were burst fractures, 6 of them were fracture-dislocations, and one of them was compression fracture. Preoperativeiy average local kyphosis angle was 23.3 degrees, postoperatively it was 10.7 degrees, in the last follow-up it was 17.8 degrees. Preoperativeiy average anterior vertebral body compression was 44.7%, postoperatively it was 24.7%, in the last follow-up it was 30.6%. Postoperatively average time that patients used TLSO corset was 4 months (1 week-1 year).Patients treated with this method had follovving complications; one patient had superficial infection, one rod was broken in another one, lower hooks were dislodged from lamina in two patients. İn the last follow-up, average loss of correction was 7.1 degrees. In the last 8 patients, we used DTT for making the system rectangular forproviding the rotational stability. Complications related with Harrington system were discussed in the literatüre. Patients who had poor economic status, this method could be used effectively if fusion was done, TLSO corset was used and follow-up was made routinely.
Authors and Affiliations
İrfan Esenkaya, M. A. ELGİN, İ. Metin TÜRKMEN, Adnan ABBASOĞLU, G. GÜRKAYNAK
Keywords
Related Articles
- EP ID EP676374
- DOI -
- Views 140
- Downloads 0
ALICI SPINAL INSTRUMENTATION FOR DEGENERATIVE DISEASE OF THE LUMBOSACRAL REGION
Degeneration of the intervertebral disc, complex begins early in life and is a variety of environmental factors as well as normal aging. With aging, there is a progressive increase in vertebral end-plate concavity, assoc...
SACRAL STRESS FRACTURES: AN IMAGING BASED CROSS-SECTIONAL STUDY
Background Data: Having been regarded as a rare cause of low back pain, sacral stress fractures are overestimated because of the lack of specific symptoms. Furthermore, the level of awareness of this pathological cond...
POSTERIOR VVEDGE OSTEOTOMY FOR TREATMENT OF SEGMENTARY KYPHOSIS
Segmentary kyphotic deformities, not uncommonly caused by Pott's disease, trauma, and congenital kyphos-coliosis, are clasically treatedby conventional surgical methods: i.e. combined anterior andposterior approaches. Fo...
ANALYSIS OF PEDICLE DIMENSIONS OF THE THORACOLUMBAR SPINE
The objective of the study was to outline the bilateral pedicle diameters and angulations in transverse plane at the thoracolumbar spine. Computerized tomography seans of 94 patients with dorsolumbar pain but no radiogra...
EVALUATION OF CHRONIC NECK PAIN IN ORTHOPEDICS AND TRAUMATOLOGY CLINIC
Objective: Evaluating the management in patients with chronic and non-spesific neck pain. Materials and method: Questionnaire based retrospective clinical study Results: In the previous year forty-six percent...