Objective: Evaluate incidence of Magerl's A and B group in thoracolumbar burst fracture (Denis) according to independent examiners.
Method: According to the posterior spinous process split on the anterior posterior radiography, three independent examiners have analyzed the patients admitted from 2000 to 2009 with thoracolumbar burst fractures (according to Denis) to differentiate between Magerl's type A3 and B1.2. Statistical evaluation was descriptive and by using Kappa's method.
Results: From the 72 patients, 11 patients compose the Magerl's type B group according to examiner 1; 10 according to examiner 2; and 17 according to examiner 3. Posterior lesion concordance was satisfactory (good, κ=0.7) between the examiners.
Conclusion: 14 to 24% patients with thoracolumbar fractures show posterior lesion (B1.2) by using radiographic criteria. Level of evidence III, Diagnostic Studies Investigating a Diagnostic Test.
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http://dx.doi.org/10.1590/S1413-78522012000400010 | DOI Listing |
Cureus
December 2024
Department of Orthopaedics, Gandhi Medical College, Bhopal, Bhopal, IND.
Introduction Thoracolumbar fractures, particularly burst fractures, represent a significant health concern due to their prevalence and functional impact. This study evaluates the efficacy of short-segment posterior fixation with intermediate screw instrumentation in treating unstable thoracolumbar fractures. Methods A prospective study was conducted from July 2022 to December 2023, including 26 patients with traumatic thoracolumbar fractures.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Orthopaedics, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, China.
The purpose of this study was to present the surgical technique of Unilateral Biportal Endoscopic (UBE) decompression combined with percutaneous pedicle screws for the treatment of thoracolumbar burst fractures with secondary spinal stenosis. Thoracolumbar burst fracture is a common traumatic disease in spinal surgery. In the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification of thoracolumbar fractures, Type A fractures have the highest incidence, accounting for about 70%, with A1 and A3 types being the most common.
View Article and Find Full Text PDFGlobal Spine J
December 2024
Department of Neurosurgery, Flinders Medical Centre, Adelaide, SA, Australia.
Study Design: Systematic Literature Review.
Objectives: To address whether TLICS or AOSpine is best used in clinical practice through assessment of interobserver and intraobserver reliability, agreement, and imaging modality performance.
Methods: This systematic literature review was reported in accordance with PRISMA 2020 guidelines.
Med Sci Monit
December 2024
Department of Orthopedics, The People's Hospital of Hechuan, Chongqing, China.
BACKGROUND High-energy injuries, like car accidents, can cause thoracolumbar burst fractures, leading to spinal instability and cord compression. Anterior decompression with stabilization provides strong support, kyphosis correction, and bone fusion. This study evaluated long-term outcomes of using a nano-hydroxyapatite/polyamide 66 strut in 38 thoracolumbar fracture cases.
View Article and Find Full Text PDFCureus
November 2024
Department of Neurological Surgery, Nagoya University Hospital, Nagoya, JPN.
Vertebral fractures (VFs) occasionally appear as the first manifestation of acute lymphocytic leukemia (ALL) in children. However, in adults, it is uncommon for VFs to lead to a diagnosis of ALL, and surgical intervention is even rarer. We encountered a case of a 42-year-old man with ALL who presented with acute severe back pain, lower limb numbness, dysuria, and hamstring weakness.
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