Management and Outcome of thoracolumbar spine injury cases at a tertiary care hospital
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Historically, thoracolumbar fractures have been treated with recumbency i.e. bed rest for a period of 8-12 weeks. This mode of treatment is accompanied with complications due to recumbency. It is very labor intensive. Cost of therapy in terms of hospital hours used, bed occupancy and care by trained personnel is very high. In a country like ours, where there is acute shortage of hospital facilities and trained manpower, conservative management, more often than not, ends up as benign neglect. Methodology: This present study is a prospective study of posterior instrumentation with pedicle screw fixation and fusion in traumatic unstable thoracolumbar spine. During the period 23 cases of traumatic thoracolumbar spine fractures were treated operatively with posterior decompression, instrumentation and fusion. Of these, 3 cases were lost to follow up. Hence the results of 20 cases were evaluated Results: In our study Type A fractures And type B fractures had incidence of 40% each. Amongst type A, Type A3 predominated. Amongst Type B, Type B2 predominated. Type C fractures accounted for 20% cases. B & C types of fractures were most commonly seen with RTA. These are high energy injuries that result in polytrauma. Complete or near complete paraplegia is common in this group. Conclusion: Management of thoracic and lumbar spine fractures demands more skills in selecting the right patients for surgery and effective preoperative evaluation.
Authors and Affiliations
Dr. Suman NV, Dr. Sanjeev Chincholi
Keywords
Related Articles
- EP ID EP497092
- DOI 10.22271/ortho.2017.v3.i3c.22
- Views 84
- Downloads 0
Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin)
Femoral shaft fractures account for 1.6% of all paediatric injuries. The best treatment for children between five to sixteen years of age is still questioned. patients in this transitional age group have high risk of sho...
Koch’s spine prevalence and its management modalities: A prospective study of 25 cases
Background: A characteristic destructive form of the koch’s spine constitutes half of the all musculoskeletal tuberculosis. The root cause of increased incidence in even developed countries described its molecular geneti...
Management of femoral fractures in adult onset osteopetrosis: A multicentric retrospective study
Background: Osteopetrosis is a relatively rare disease with an incidence of approximately 1 case per 2,00,000 to 5,00,000 population. The clinical features of osteopetrosis includes pathological fractures, severe anemia...
Long term outcome of lower end radius fractures treated with locking plates
Introduction: Fractures of distal end radius account for one sixth of all fractures that are seen and treated by orthopaedic surgeons. Increasing functional demand and improved methodologies of achieving and maintaining...
Congenital radio ulnar synostosis, analysis of functional outcome using double rotation osteotomy and osteotomy at synostosis site
Aim: To evaluate the functional outcome using double rotation osteotomy and osteotomy at synostosis site in congenital radio ulnar synostosis Materials and methods: A prospective study has been done in Institute of child...