Anterolateral decompression for neural involvement in thoracolumbar fractures. A review of 78 cases
| Autor: | Ole Böstman, P. Myllynen, Erik B. Riska |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Adolescent Decompression Radiography medicine.medical_treatment Joint Dislocations Thoracic Vertebrae Fractures Bone Lumbar medicine Humans Paralysis Orthopedics and Sports Medicine Spinal canal Reduction (orthopedic surgery) Aged Lumbar Vertebrae Posterior fusion business.industry Middle Aged medicine.disease Surgery Pulmonary embolism medicine.anatomical_structure Female Complication business Spinal Cord Compression Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :704-708 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.69b5.3680328 |
| Popis: | Of a total of 905 patients with fracture or fracture-dislocation of the thoracolumbar spine admitted from 1969 to 1982, a neurological deficit was present in 334 (37%). All unstable injuries were initially treated by reduction and posterior fusion. In 79 of these patients, an anterolateral decompression was undertaken later because of persistent neurological deficit and radiographic demonstration of encroachment on the spinal canal. One patient died of pulmonary embolism; 78 were reviewed after a mean period of four years. Of these 78 patients 18 made a complete neurological recovery while 53 appeared to have benefited from the procedure; 25 remained unchanged. The best results were obtained in burst fractures at thoracolumbar and lumbar levels when a solitary detached fragment of a vertebral body had been displaced into the spinal canal. These results indicate that anterolateral decompression of the spinal canal should be considered, after careful evaluation, for certain injuries of the spine in which there is severe neural involvement. |
| Databáze: | OpenAIRE |
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