TRANSPEDICULAR FIXATION İN THE BURST FRACTURES OF THE THORACOLUMBAR JUNCTION: THE EFFICACY OF TIMING OF THE SURGERY
Journal Title: Journal of Turkish Spinal Surgery - Year 1994, Vol 5, Issue 1
Abstract
Study Design: İn this study, the efficacy of timing of the surgery in the burst fractures of the thoraco-lumbar junction which were surgically treated betvveen May 1993 - May 1994 with short segment fixation using transpedicular screvvs were evaluated. Method: The patients were divided into two groups according to time eiapsed betvveen injury and opera-tion. Cases operated vvithin the first 24 hours were taken as early surgery group (n = 5) and cases operated later than 24 hours after the injury were considered as the late surgery group (n = 6). The efficacy of treat-ment was assessed by evaluation of the sagittal index (SI) restoration and reduction of the canal compro-mise. Result: The pre- and post-operative values for SI and canal narrovving for both groups are presented in the tabie: Conclusion: There is stili controversy concerning the relation betvveen canal narrovving and neurologic deficit, and the effect, if any, of decompression on neural recovery. Nevertheiess, if the main aim of the sur-gical procedure is to restore the sagittal index and decompress the neural canal, then anterior approach should be preferred to transpedicular fixation in cases to be operated later than 24 hours.
Authors and Affiliations
Muharrem YAZICI, Birol GÜLMAN, Koksal TİLKİ
Keywords
Related Articles
- EP ID EP676266
- DOI -
- Views 162
- Downloads 0
SPINAL INTRADURAL MASS LESIONS
Various mass lesions may be placed in the spinal cord. İntradural spinal cord lesions including tumors, cavernomas, arteriovenous malformations, abscess and cysts were introduced and their symptoms and findings, incidans...
RECENT ADVENCES IN MEDICAL TREATMENT OF OSTEOPOROSIS
Osteoporosis is the most common bone disease, associated with low bone mineral density (BMD) and pathological fractures which lead to significant morbidity. It is defined clinically by a BMD of 2.5 standard deviations or...
EVALUATION OF SAGITTAL SPINOPELVIC PARAMETERS BEFORE AND AFTER LUMBAR STABILIZATION SURGERIES
Purpose: The aim of the study is to evaluate sagittal spinopelvic parameters before and after lumbar stabilization surgeries. Materials-Methods: We inspected 60 patients who had been operated for lumbar stabilizat...
MULTIETIOLOGICAL SYNDROME: LOW BACK PAINSOME ASPECTS OF PATHOGENESIS AND TREATMENT
The study presents data of hospital examination and treatment of 405 patients suffering from acute low back pain; in 247 of them have been revealed changes in bone mineral density of the vertebrae the type of osteopenia...
PREGNANCY-ASSOCIATED VERTEBRAL COMPRESSION FRACTURE: CASE REPORT AND SHORT REVIEW
Background Data: Osteoporosis associated with pregnancy or lactation is a rare condition. The incidence and mechanism of this phenomenon has not been clarified, but it can cause one or more vertebral compression fract...