Functional And Radiological Outcomes In Management Of Thoracolumbar Fractures Without Neurological Deficits
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Introduction and Objectives: Traumatic fractures of the thoracolumbar spine, especially the thoracolumbar junction (T10–L2), are the most common fractures of the spinal column. Despite extensive studies on this common injury, there are various opinions regarding the ideal management, especially in patients without an associated neurological deficit. The present study describes the functional outcome of patients with a thoracolumbar fracture without neurological deficits treated with pedicle screw internal fixation (surgical mode) or managed conservatively with bracing. Materials and Methods: Adult patients with thoracolumbar spinal fractures without neurological deficits admitted in our hospital were included in the study. A total of 42 patients were included in the study. 20 patients underwent surgical management and 22 patients were treated conservatively. The patients were followed for a minimum period of one year with serial clinical & radiological assessment. Results: In the operative group, the average fracture kyphosis was 19.60 at the time of admission and 14.30 at the final follow-up evaluation. In the nonoperative group, the average kyphosis was 17.80 at the time of admission and 23.80 at the final follow-up examination after treatment. There was no statistical difference between the groups with respect to Visual analogue score (P value= 0.177). Conservatively managed patients returned to work earlier, 81.8% patients returned to their pre injury work. Conclusion: Operative management of thoracolumbar fractures without neurologic deficit improves residual kyphosis, but does not improve pain or function as compared to conservative management at the end of one year and is associated with higher complication rates.
Authors and Affiliations
Manoj Kumar HV, Krishna Murthi, Ankith NV, Somashekar S. A. , Abhijit Patil
Keywords
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