Document Detail


Acute injuries of the upper dorsal spine.
MedLine Citation:
PMID:  8406745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an effort to define better diagnostic and treatment criteria, we reviewed the cases of 50 patients with injuries of the upper dorsal spine from T2-T9, seen between January 1983 and July 1988. The majority of injuries were caused by road traffic accidents, followed by falls from a height, and train accidents. More than 50 per cent had associated injuries, of which four were missed; 50 per cent had neurological deficits, and the majority of these cases had burst fractures and fracture-dislocations. Treatment was non-operative in the majority of cases, with only four cases undergoing anterior spinal decompression and fusion, and one had posterior instrumentation and fusion. At follow-up (1-3 years), only one patient, a child, had significant deformity. All patients with partial neurological deficit improved, whereas none of those with complete neurological lesions recovered. Five patients had significant back pain requiring analgesics but not significant enough to interfere with their activities. We concluded that most of these injuries are stable and should be treated non-operatively. Surgery is only indicated in cases with partial neurological deficit and significant spinal canal compromise or significant instability. Children should be followed up until maturity to look for late deformity.
Authors:
M J Grootboom; S Govender
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Injury     Volume:  24     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1993-11-16     Completed Date:  1993-11-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  389-92     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, University of Natal, Republic of South Africa.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Accidents
Accidents, Traffic
Acute Disease
Adolescent
Adult
Child
Dislocations / complications,  radiography*
Female
Humans
Male
Middle Aged
Multiple Trauma / radiography
Railroads
Spinal Cord Injuries / etiology
Spinal Fractures / complications,  radiography*
Thoracic Vertebrae / injuries*,  radiography
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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