Early short segment spinal fixation in traumatic paraplegia: Our experience at IGIMS
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2015, Vol 1, Issue 1
Abstract
Abstract Background Dorsolumbar segment is more mobile and become more unstable spine after the injury. The goal of our treatment is early neural decompression with stable rigid internal fixation using pedicular screws. Objective To prevent the complication of traumatic paraplegia and further neurological deterioration by early mobilization and to achieve the neurological improvement by neural decompression is the main objective of this study. Materials & Methods This study was done on forty five patients (M: F=5.4:1 ratio), 20-65 yrs of age (mean=38 yrs), with post traumatic instability (duration <3weeks) of lower thoracic or lumbar spine.All were managed surgically. All the patients were mobilized within a week with thoracolumbar spinal brace (Rigid type). The spinal support was used post operatively in all the cases for 1st three months. Results The neurological statuses of the patients were recorded as per Frankel grading pre and postoperatively. The patients with incomplete neurological injuries had recovery in 77.78% of cases; little changes were seen with complete neurological injury. Complications like bed sore, superficial skin infections and peroperative dural tear were encountered but all were managed successfully. Conclusion Study indicated that, Early Short Segment Pedicular Screw Fixation method is a safe, effective and also incurs low cost.
Authors and Affiliations
Santosh Kumar, Manish Kumar, Indrajeet Kumar, Binay Pandey
Keywords
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