Altay, Mehmet Akif Harran Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Ertürk, Cemil Harran Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye , Işıkan, Uğur Erdem Harran Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey

Treatment of thoracolumbar burst fractures with long segment instrumentation

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Aim: The aim of this study was to evaluate the clinical and radiological results of the unstable thoracolumbar burst fractures which were treated with long-segment instrumentation. Material and Methods: Twenty-three patient (17 men, 6 women; mean age 28.7 (range18-51)) who were treated with thoracolumbar burst fractures were evaluated retrospectively. Between T12 and L2 according to Frankel classifi cation C, D and E type fractures were included in this study. Of all the patients, seven of them had T12, eleven patients had L1 and fi ve patients had L2 fractures. Two segments above and below bilateral pedicular screw and rod system were used for all patients. In the preoperative and postoperative period, work and pain scale as well as canal compromise rate, sagittal index (SI) and anterior body compression were evaluated. Results: Mean follow-up period was 25.7 months (range 14-48 months). There was a signifi cant increase in postoperative period for canal compromise rate, sagittal index (SI) and anterior body compression. Nineteen patients had no or occasional minimal pain. Four patients had minimal pain but no interruption of work. Twelve patients returned to previous employment. Eight patients were unable to return to their previous employment but working full time at a new job and three patients were unable to return to their previous employment, not working full-time. Conclusion: Long-segment instrumentation can be used effectively and safely in the treatment of thoracolumbar burst fracture.

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Thoracolumbar burst fracture , surgical treatment , long , segment instrumentation

Pamukkale Medical Journal

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