| Title |
Stuburo krūtininės ir juosmeninės dalies lūžių operacinio gydymo rezultatai / |
| Translation of Title |
Outcome of surgical treatment of thoracic and lumbar spine fractures. |
| Authors |
Šatkauskas, Igoris ; Uvarovas, Valentinas ; Kocius, Manvilius |
| DOI |
10.15388/LietChirur.2005.3.2310 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilniaus universiteto leidykla. 2005, t. 3, Nr. 3, p. 192-201.. ISSN 1392-0995. eISSN 1648-9942 |
| Abstract [eng] |
Objective. To evaluate functional and radiological outcomes of thoracic and lumbar spine fractures stabilized surgically and to identify any radiographic findings that may adversely influence posterior fixation failure and final functional outcome. Patients and methods. A retrospective review of 48 neurologically intact patients who had undergone surgical stabilization and fusion of unstable thoracic and lumbar spine fractures was performed. Vertebral and regional kyphosis angles, anterior ant posterior vertebral body compression were measured on injury, postoperative and final follow-up radiographs. Functional, pain status and disability were evaluated using the North American Spine Society (NASS) lumbar spine and Roland-Morris Disability (RMDQ) questionnaires. Relationships were sought between radiographic findings, complications and self-reported outcome measurement scores. Results. The mean follow-up time for the 48 patients (mean age 38.4, range 19 to 71 years) was 16.8 months. Despite a significant loss of correction, the degree of residual deformity was significantly less than at the time of injury. Of 38 patients treated with posterior short-segment pedicle-screw instrumentation ant posterior fusion, 10 (26.3%) had a fixation failure. In the fixation failure group, the loss of correction of regional kyphosis was significantly greater than in the non-failure group, but it had no influence on the final functional outcome. The mean NASS pain/disability subscale and RMDQ scores were 76.8 ± 20.0 and 5.9 ± 6.4, respectively. No correlation was found between the radiographic findings and questionnaire scores. Conclusions. The short-segment pedicle fixation and posterior fusion of unstable burst spine fractures is not sufficient and related with a high rate of the hardware failure... |
| Published |
Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2005 |
| CC license |
|
