Nonoperative treatment in burst fractures of the lumbar spine (L2-L5) without neurologic deficits
| Autor: | Ngian Kite Seng, Kenneth T. Kaan, Donald P. K. Chan |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Spinal stenosis Nervous System Lumbar Back pain Medicine Neurologic deterioration Humans Orthopedics and Sports Medicine Spinal canal Kyphosis Aged Retrospective Studies Lumbar Vertebrae business.industry Middle Aged medicine.disease Kyphotic deformity Nonoperative treatment Surgery medicine.anatomical_structure Spinal Fractures Lumbar spine Female Neurology (clinical) medicine.symptom business Tomography X-Ray Computed Follow-Up Studies |
| Zdroj: | Spine. 18(3) |
| ISSN: | 0362-2436 |
| Popis: | A retrospective review of 20 patients treated nonoperatively for burst fractures of the lumbar spine (L2-L5) was performed. All patients were neurologically intact at the time of injury. Follow-up averaged 3.9 years with a range of 2.1 to 9.1 years. Fourteen patients were men and six were women. The average age at injury was 35.8 years (8-67 years). Sixty-five percent of the injuries were the result of motor vehicle accidents and 35% falls from height. Fifty-five percent were two-column injuries and 45% three-column injuries. Kyphotic deformity averaged 8 at injury (-7 to 30) and 9.6 at follow-up (-8 to 33). Computed tomography scans were performed in nine patients during evaluation of injury. Spinal canal compromise averaged 40% (18-75%). Eighteen patients (90%) were considered to have a good to excellent functional outcome, whereas two patients had a fair outcome. No patient had a poor outcome. In no patient did neurologic deterioration or symptomatic spinal stenosis develop. Twenty-five percent of patients had no back pain, 70% mild back pain, and 5% moderate back pain. No patient was totally incapacitated by pain. Of those employed, all returned to full-time work. Nonoperative treatment should be considered as an alternative in the treatment of lumbar burst fractures (L2-L5) in patients presenting without initial neurologic deficits. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|