THE EFFICIENCY OF CONSERVATIVE TREATMENT OF THE THORACOLUMBAR VERTEBRAE COMPRESSION FRACTURES

Journal Title: Journal of Turkish Spinal Surgery - Year 2009, Vol 20, Issue 4

Abstract

Objective: The evaluation of the radiologic and functional efficiency of conservative treatment of the thoracolumbar vertebrae fractures has been aimed. Material and Methods: The study included 25 patients (16 males, 9 females; mean age 38.8; range 20 to 59 years) who underwent conservative treatment for traumatic thoracolumbar vertebrae compression fractures. All of the patients were assessed by plain radiograms and computed tomography. None of the patients had neurological deficits. Treatment involved use of a thoracolumbosacral hyperextension orthesis for four to six months. Radiographically, local kyphosis angle and sagittal index were measured before and after treatment for evaluating the efficiency of treatment. Functional results were evaluated with the use of Denis’ pain and work scales. The mean follow-up was 4.1 years (range 3 to 7 years). Results: The mean hospital staying time was 3.8 days (range 3 to 7 days). None of the patients had late term neurological deficits and cardiovascular complications. Before treatment, the mean local kyphosis angle and sagittal index were measured as 16.8° ± 4.7° and 14.2° ± 3.6°, after treatment they were measured as 17.1° ± 5.2° and 14.7° ± 4.5°. However, both did not differ significantly from the baseline at the final measurements (p>0.05). After treatment, the mean Denis’pain and work scales scores were 1.92 and 1.76, respectively with statistically importance (p<0.05). One patient required surgery at 11th month because of pain (Denis’ score; P4-W3, local kyphosis angle; 28, sagittal index; 22). Conclusions: In this study, although in the thoracolumbar vertebrae compression fractures there has not been any substantial change radiologically in the local kyphotic deformation, it has been observed that there is an important improvement in the results of clinical studies. Under the scope of this study, it has been concluded that although only one patient has been sent to surgery, treatment with ortesis is very effective in the thoracolumbar compression fractures under proper indications.

Authors and Affiliations

D. Ali ÖÇGÜDER, Erkan AKGÜN, Tolga TOLUNAY, Ferhat GÜLER, Hasan OĞUR, Şükrü SOLAK

Keywords

Related Articles

POSTERIOR APPROACHES OF CRANIOCERVICAL REGION

Because of the differences of anatomy in vertebrae and neuro vascular structures, craniovertebral junction is divided from the other part of spinal colon with regard to surgical applications. Most of flexion-extension (3...

INDICATIONS OF HARRINGTON INSTRUMENTATION FOR SCOLIOSIS AND CLINICAL EVALUATION OF 59 CASES

In this study, we present 38 idiopathic, 12 paralytic and 9 congenital scoliosis, totaly 59 patients treated with Hibbs posterior spinal fusion technique with Harrington instrumentation and facet fusion. Early mobilisati...

POSTOPERATIVE PSEUDOMENINGOCELE: case report

In this article, a pseudomeningocele, which was diagnosed during the radiological work of a male 63 year old patient who had undergone multiple operations for lumbar disc disease and postoperative fibrosis, is presented...

LUMBAR INTRADURAL DISC HERNIA: A CASE REPORT

Although intradural disc herniations are rare, they should be kept in mind because of the difficulties in diagnosis and treatment. The incidence of intradural disc herniation is between 0.27% and 0.33% in all discs. In t...

RECENT FIXATION TECHNIQUES IN OCCIPITOCERVICAL REGION

The fixation techniques used in occipitocervical junction are somehow different from the techniques used in other regions of the spine as the occipitocervical junction is different both anatomically and biomechanically....

Download PDF file
  • EP ID EP676626
  • DOI -
  • Views 118
  • Downloads 0

How To Cite

D. Ali ÖÇGÜDER, Erkan AKGÜN, Tolga TOLUNAY, Ferhat GÜLER, Hasan OĞUR, Şükrü SOLAK (2009). THE EFFICIENCY OF CONSERVATIVE TREATMENT OF THE THORACOLUMBAR VERTEBRAE COMPRESSION FRACTURES. Journal of Turkish Spinal Surgery, 20(4), -. https://europub.co.uk/articles/-A-676626