Functional spine analysis at surgical treatment of burst fractures of thoracic and lumbar spine [Аналіз функціонального стану хребта за умов хірургічного лікування вибухових переломів грудного та поперекового відділів]
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 611, Issue 2
Abstract
Burst fracture — is traumatic injury under the influence of high-energy axial compression which results multifragmentary vertebrae fracture with penetration of bone fragments into spine canal and paravertebral tissues. Objective: to analyze the magnitude of kyphotic deformity and indexes of sagittal spine balance after surgical treatment of burst fractures. Methods: retrospective study was made of 99 case histories. Criteria of inclusion were: incomplete burst (type А3.1) and incomplete split burst fracture (А3.2), complete burst fracture (type А3.3), vertebrae body with destruction (АВ) and rotation (АС). All patients were divided into 4 groups: I (17 patients) — transpedicular fixation with six screws; II (55) — posterior fixation with eight screws; III (22) — anterior-posterior combined spinal 360° fusion; IV (5) — tree column reconstruction from posterior approach. Results: fixation with six screws was used mostly in patients with type A3.1 fractures, it allowed us to correct kyphotic deformity in average 8.4º ± 6.5º and provide stable osteosynthesis. In patients of II group the magnitude of kyphotic deformity after trauma was 16.4º ± 6.9º, the average magnitude of its correction was 12.6º ± 7.0º. In the III group of patients this index was 18.3º ± 9.7º, and in the IV — 18.67º ± 2.08º. Conclusions: The choice of method of fixation depends on the morphology of injury. Totally surgical treatment of burst fractures can provide preservation of sagittal vertical axis. Usage of eight screws fixation and combined anterior and posterior spine 360° fusion is the most effective for deformity correction.
Authors and Affiliations
Volodymyr Radchenko, Kostiantin Popsuishapka, Teslenko Sergii
Keywords
Related Articles
- EP ID EP574222
- DOI 10.15674/0030-5987201825-12
- Views 140
- Downloads 0
[Эндопротезирование головки лучевой кости биполярным бесцементным эндопротезом с парой трения металл – металл]
Objective: to review technical peculiarities of designed uncemented modular radial head endoprothesis and to analyze it clinical application in patients with fractures and dislocations of the radial head ІІІ–IV types by...
Study of secondary changes in patients tissues after posttraumatic extraarticular femur and tibia deformities [Дослідження вторинних змін у тканинах хворих із післятравматичними позасуглобовими деформаціями стегнової кістки та кісток гомілки]
One of complications after shaft fractures is formation of angular deformities. Clinical significance of axial infringement can influence on the leg function. Objective: to study the changes which occur in the tissues o...
MORPHOLOGICAL FEATURES STATE OF THE BLOOD SUPPLY AND TISSUE VIABILITY IN FEMORAL AND TIBIAL BONES DURING TOURNIQUET LIMB ISCHEMIA AND RECIRCULATION PERIOD
Detailed studies of histopathological changes and the state of blood supply to the tissues of the limb has not been studied yet. Application with following removing the tourniquet had not been carried out. It remains unc...
Mathematical modeling of dynamic loading features of hip joint after resection of proximal femur tumors
The problem of achieving positive results in the treatment of patients with tumors of the upper third of the femur remains relevant. Among the methods for studying the functioning of the hip joint and for analyzing the s...
MRI signs of anterior cruciate ligament graft restructuring in bone canal
One of the reason for succeed anterior cruciate ligament reconstruction is the process of graft remodeling on the border «tendon-bone» in the bone canal. This factor can influence on the mechanical stability of the knee...