Clinical characteristics and treatment of fracture-dislocation of thoracic spine with or without minimal spinal cord injury
| Autor: | Minghai Dai, Yijiang Huang, Shaoqi He, Chengxuan Tang, Wenliang Chen, Maoxiu Peng, Xiaojun Tang |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Thoracic spine medicine.medical_treatment Kyphosis Joint Dislocations Physical Therapy Sports Therapy and Rehabilitation Thoracic Vertebrae 03 medical and health sciences Fracture Fixation Internal Young Adult 0302 clinical medicine Pedicle Screws Statistical significance medicine Internal fixation Humans Orthopedics and Sports Medicine Displacement (orthopedic surgery) Spinal cord injury Reduction (orthopedic surgery) Spinal Cord Injuries Retrospective Studies business.industry Rehabilitation 030229 sport sciences Middle Aged medicine.disease Spinal cord Surgery medicine.anatomical_structure Treatment Outcome Spinal Fractures Female 0305 other medical science business |
| Zdroj: | Journal of back and musculoskeletal rehabilitation. 33(3) |
| ISSN: | 1878-6324 |
| Popis: | Background It is important to evaluate clinical efficacy and safety of posterior internal fixation using pedicle screw system. Objectives To investigate clinical characteristics of patients diagnosed with fracture-dislocation of the thoracic spine with or without minimal spinal cord. Methods Twenty-eight patients with fracture-dislocation of thoracic spine with or without minimal spinal cord injury were retrospectively analyzed. All patients received posterior reduction and internal fixation using pedicle screw system. Results The mean follow-up duration was 11.4 months. Among 28 patients, 24 cases were complicated with bilateral pedicle or laminal fracture. Preoperatively, the percentage of vertebral displacement was (32.1 ± 20.6)%, significantly declined to (7.5 ± 6.0)% (t= 4.575, P= 0.001) and maintained at (7.9 ± 6.3)% at the final follow-up. Preoperative local kyphosis angle was measured as (16.2 ± 11.3)∘, restored to (15.4 ± 5.9)∘ postoperatively and (15.8 ± 5.4)∘ during the final follow-up. No statistical significance was observed at three time points (all P> 0.05). The remaining 25 patients were evaluated with normal and complete neurological function. No severe complications were observed intra- and postoperatively. Conclusions Posterior internal fixation using pedicle screw is an efficacious and safe therapy which achieves proper reduction and preserves spinal cord function. |
| Databáze: | OpenAIRE |
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