A prospective study of the outcome of traumatic dorsolumbar fractures treated with posterior stabilisation by pedicle screw fixation
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 1
Abstract
Background: The spinal trauma is one of the leading problems in orthopaedic practice. Thoracolumbar spinal segment is the 2ndmost commonly involved segment after the cervical segment in spinal injuries, about 35 to 60% of all spinal injuries occurring between T12 and L2. The treatment options for unstable thoracolumbar spine fractures and fracture dislocations have long been controversial. Many authors, advised non-operative treatment in the past, but nowadays, posterior instrumentation gives excellent outcome. Materials and Methods: In all, a total of 20 cases were evaluated and assessed during the study period between August 2012 to July 2015. The study was conducted in the Department of Orthopaedics, GMKMCH, SALEM. Preoperative x-rays CT, MRI were done and neurological status recorded. The clinical outcome was measured with Denis pain scale and Denis work scale. Neurological status was assessed with ASIA scale. Radiological outcome was assessed by measuring the regional kyphotic angle and anterior vertebral height. Results: In our study the clinical outcome was good. Most of the patients returned to their previous job and had a considerable reduction in pain.95% of patients had an improvement in their neurological status. There was a decrease in the regional kyphotic deformity and an increase in anterior vertebral height.1 patient had implant failure with decrease in the neurological status.1 patient had pedicle screw misplacement with no neurological complications and 1 patient had superficial wound infection. Conclusion: N: Pedicle screw instrumentation provides less surgical exposure, correction of deformity and better stabilization. It provides fixation and stabilization of all the three columns. So stabilization, reduction and decompression using pedicle screws and rods helps in stabilization of unstable fractures and helps in further neurologic recovery of the patient.
Authors and Affiliations
M Kannan
Keywords
Related Articles
- EP ID EP497094
- DOI -
- Views 98
- Downloads 0
Study of Sutures: Anatomical Variations in the Fusion of Sutures
Background: The cranial sutures are the fibrous tissues uniting the skull bones as they approximate one another during development .The coronal, sagittal and lambdoid sutures were analyzed for quantifying the sutural pat...
Recent developments in anticancer applications of the Schiff bases and their metal complexes
Metal complexes of Schiff base signify a class of compounds that have become a field of huge interest for chemists all over the world because of their immense therapeutic applications. They show versatile bonding behavio...
Association of Serum Apolipoprotein in Patients with Coronary Heart Disease – An Observational Study
Introduction: Incidence of coronary heart disease (CHD) has shown an upward trend in Indian in the last decade. Estimation of serum lipids like Cholesterol and triglycerides were used to assess the risk of CHD. However,...
A Case of Central Venous Line Insertion in Severe Scoliosis
We are presenting a case of central venous catheter (CVC) malposition which was introduced under ultrasound (USG) guidance and its tip position was evaluated by transesophageal echocardiography (TEE), in a patient with s...
Bilateral peri-renal lymphangiectasia
Renal lymphangiectasia is a very rare benign disorder where there is dilatation of the perirenal and peripelvic lymphatics. The condition is commonly misdiagnosed as other cystic lesions of kidney. We present USG and CT...