Radiological Outcome of Short Segment Posterior Instrumentation and Fusion for Thoracolumbar Burst Fractures

Truc Tam Vu; Yuichiro Morishita; Itaru Yugue; Tetsuo Hayashi; Takeshi Maeda; Keiichiro Shiba

추천

검색

자료유형: 학술저널

저자정보: Truc Tam Vu (Hospital for Traumatology-Orthopedics) Yuichiro Morishita (Spinal Injuries Center) Itaru Yugue (Spinal Injuries Center) Tetsuo Hayashi (Spinal Injuries Center) Takeshi Maeda (Spinal Injuries Center) Keiichiro Shiba (Spinal Injuries Center)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.9 No.3

발행연도: 2015.1

수록면: 427 - 432 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Study Design: Retrospective study. Purpose: To evaluate the radiological outcome of the surgical treatment of thoracolumbar burst fractures by using short segment posterior instrumentation (SSPI) and fusion. Overview of Literature: The optimal surgical treatment of thoracolumbar burst fractures remains a matter of debate. SSPI is one of a number of possible choices, yet some studies have revealed high rates of poor radiological outcome for this SSPI. Methods: Patients treated using the short segment instrumentation and fusion technique at the Spinal Injuries Center (Iizuka, Fukuoka, Japan) from January 1, 2006 to July 31, 2012 were selected for this study. Radiographic parameters such as local sagittal angle, regional sagittal angle, disc angle, anterior or posterior height of the vertebral body at admission, postoperation and final observation were collected for radiological outcome evaluation. Results: There were 31 patients who met the inclusion criteria with a mean follow-up duration of 22.7 months (range, 12–48 months). The mean age of this group was 47.9 years (range, 15–77 years). The mean local sagittal angles at the time of admission, post-operation and final observation were 13.1°, 7.8° and 14.8°, respectively. There were 71% good cases and 29% poor cases based on our criteria for the radiological outcome evaluation. The correction loss has a strong correlation with the load sharing classification score (Spearman rho=0.64, p <0.001). Conclusions: The loss of kyphotic correction following the surgical treatment of thoracolumbar burst fracture by short segment instrumentation is common and has a close correlation with the degree of comminution of the vertebral body. Patients with high load sharing scores are more susceptible to correction loss and postoperative kyphotic deformity than those with low scores.

참고문헌 (2)

참고문헌 신청

김현성 / 2013 / Short Segment Fixation for Thoracolumbar Burst Fracture Accompanying Osteopenia : A Comparative Study / 대한신경외과학회지 53(1):26~30

이윤수 / 2005 / Long-term Follow-up Results of Short-segment Posterior Screw Fixation for Thoracolumbar Burst Fractures / 대한신경외과학회지 37(6):416~421

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

Truc Tam Vu

소속기관 Hospital for Traumatology-Orthopedics

주요연구분야 의약학 > 임상의학 > 정형외과학

논문수 1 이용수 0

Yuichiro Morishita