THORACOLUMBAR FRACTURE SURGERIES: ANALYSIS WITH THORACOLUMBAR INJURY CLASSIFICATION AND SEVERITY SCORE (TLICS)
Journal Title: Journal of Turkish Spinal Surgery - Year 2018, Vol 29, Issue 2
Abstract
Aim: The purpose of our study is to compare our surgical decisions with TLICS considering our retrospective cases. Materials and Method: We inspected 38 patients who were operated for thoracal, thoracolumbar and lumbar fractures between February 2016 - February 2018 at Ereğli State Hospital Neurosurgery Clinic and classify according to TLICS. Results: We analyzed 38 patient with thoracolumbar trauma. Thirteen (34.3 %) female and 25 (65.7 %) male patients were evaluated. Mostly the cause of trauma was fall. The type of the fracture was frequently burst fractures. 16 (42.1 %) patients were operated for thoracal, 19 (50 %) patients were operated for lumbar fractures and three (7.9 %) patient were operated for thoracic-lumbar fractures. According to TLICS scores 20 patients (52.6 %) classified as surgical, 7 patients (18.5%) as surgeon’s choice and 11 patients (28.9 %) as non-surgical. Conclusion: The recommendation by TLICS score for a conservative treatment modality shows to have limitations in certain patients in need to be managed surgically due to their progressing symptoms especially pain.
Authors and Affiliations
Cumhur Kaan YALTIRIK, Mustafa KAYA
Keywords
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