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Surgical Techniques for Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations
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논문 기본 정보

Type
Academic journal
Author
Salman Sharif (Liaquat National Hospital and Medical College) Yousuf Shaikh (Department of Neurosurgery Liaquat National Hospital and Medical College) Onur Yaman (Department of Neurosurgery Memorial Bahçelievler Spine Center) Mehmet Zileli (Department of Neurosurgery Ege University Faculty of Medicine)
Journal
The Korean Spinal Neurosurgery Society Neurospine Neurospine 제18권 제4호
Published
2021.12
Pages
667 - 680 (14page)
DOI
10.14245/ns.2142206.253

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Surgical Techniques for Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations
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Abstract· Keywords

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To formulate the specific guidelines for the recommendation of thoracolumbar fracture regarding surgical techniques and nonfusion surgery. WFNS (World Federation of Neurosurgical Societies) Spine Committee organized 2 consensus meeting. For nonfusion surgery and thoracolumbar fracture, a systematic literature search in PubMed and Google Scholar database was done from 2010 to 2020. The search was further refined by excluding the articles which were duplicate, not in English or were based on animal or cadaveric subjects. After thorough shortlisting, only 50 articles were selected for full review in this consensus meeting. To generate a consensus, the levels of agreement or disagreement on each item were voted independently in a blind fashion through a Likert-type scale from 1 to 5. The consensus was achieved when the sum for disagreement or agreement was ≥66%. Each consensus point was clearly defined with evidence strength, recommendation grade, and consensus level provided. A magnitude of prospective papers were analyzed to formulate consensus on various surgical techniques that can be employed to address different types of thoracolumbar fractures. Surgical treatment of thoracolumbar fractures can be a better option over the nonoperative approach, especially for those who cannot tolerate months in an orthosis or cast, such as those with multiple extremity injuries, skin lesions, obesity, and so forth. It generally allows early mobilization, less hospital stay, reduced pulmonary complications, and better correction of sagittal balance. Current available literature fails to demonstrate any statistically significant benefit of fusion surgery over nonfusion in thoracolumbar fractures.
#Thoracolumbar fracture #Burst fracture #Spine trauma #Spinal fusion #Nonfusion surgery

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References (79)

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Alpantaki K / 2010 / Thoracolumbar burst fractures : a systematic review of management / Orthopedics 33:422~429 google schola Charles YP / 2015 / Management of thoracolumbar spine fractures with neurologic disorder / Orthop Traumatol Surg Res 101(1 Suppl):S31~S40 google schola Denis F / 1983 / The three column spine and its significance in the classification of acute thoracolumbar spinal injuries / Spine(Phila Pa 1976) 8:817~831 google schola Magerl F / 1994 / A comprehensive classification of thoracic and lumbar injuries / Eur Spine J 3:184~201 google schola Lopes FAR / 2018 / Intraobserver and interobserver reproducibility of the old and new classifications of toracolombar fractures / Rev Bras Ortop 53:521~526 google schola

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