Objectives: To assess the relationship between sagittal collapse, posterior instrumentation failure and the McCormack classification among patients with thoracolumbar burst fractures who had undergone posterior arthrodesis more than one level above and one level below the fracture.
Methods: This was a retrospective review based on the medical records and radiographs of 26 patients who underwent operations between January 1990 and December 2006. The parameters assessed were: worsening of kyphosis (Cobb), neurological dysfunction (Frankel) and failure of surgical treatment (implant breakage or loosening).
Results: No relationship was found between sagittal collapse and the scoring in the McCormack classification (r = 0.221; P = 0.322). There was also no relationship between failure of the posterior implant and the scoring in this classification (p = 0.85).
Conclusion: Our findings suggest that this classification is not applicable to patients who underwent arthrodesis more than one level above and one level below the fracture.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799079 | PMC |
| http://dx.doi.org/10.1016/S2255-4971(15)30363-3 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Functional and Radiological Outcomes of Short-Segment Fixation With Intermediate Screws for Thoracolumbar Spine Fractures.
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 PDFUnilateral biportal endoscopic decompression combined with percutaneous pedicle screw fixation offers new treatment option for thoracolumbar burst fractures with secondary spinal stenosis.
Sci 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 PDFWhich is the Superior Thoracolumbar Injury Classification Tool? TLICS Versus AOSpine 2013: A Systematic Review.
Global 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.
Long-Term Outcomes of Nano-Hydroxyapatite/Polyamide 66 Strut in Thoracolumbar Burst Fractures.
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 PDFThoracolumbar Posterior Pedicle Screw Fixation and Laminectomy for an Osteoporotic Vertebral Fracture Resulting From Acute Lymphoblastic Leukemia in an Adult Patient: A Case Report.
Cureus
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.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!