Document Detail

Outcome of thoracolumbar burst fractures treated with indirect reduction and fixation without fusion.
MedLine Citation:
PMID:  20694848     Owner:  NLM     Status:  MEDLINE    
Indirect reduction and fixation is not a new method in the treatment of thoracolumbar burst fractures but the indications and efficacy are controversial. The current study was designed to evaluate the efficacy of indirect reduction without fusion. Sixty-four patients with single-level thoracolumbar burst fractures were identified and treated by this method. The outcome was analyzed by the Frankel method, radiographic measurements, and at the latest follow-up the Denis Pain Scale and Oswestry disability index (ODI) were used to assess back pain and functional outcome. The average follow-up period was 40.1 months. The anterior vertebral height (AVH) was corrected from 55.2 to 97.2% post-operatively and decreased to 88.9% after hardware removal. The posterior vertebral height (PVH) increased from 88.9 to 99.1% post-operatively and decreased slightly after implant removal to 93.7%. The average pre-operative canal compromise was 41.4%, which decreased to 13.7% at last follow-up. Except for three paraplegic patients, neurological status significantly improved or stayed normal in the study's remaining 61 patients. Fifty-two of sixty-four patients had excellent or good function. At latest follow-up the average ODI score was 16.7 and the Denis pain score improved in all patients but one. Indirect reduction and fixation can not only restore vertebral column structure but also, more importantly, patients' functional outcome.
Huilin Yang; Jin-hui Shi; Molly Ebraheim; Xiaochen Liu; Joseph Konrad; Ibrahim Husain; Tian-si Tang; Jiayong Liu
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Publication Detail:
Type:  Journal Article     Date:  2010-08-08
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  20     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-04     Completed Date:  2012-02-08     Revised Date:  2012-09-19    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  380-6     Citation Subset:  IM    
The First Hospital Affiliated to Suzhou University, Suzhou, Jiangsu 215006, China.
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MeSH Terms
Fracture Fixation, Internal / instrumentation,  methods*
Lumbar Vertebrae / surgery*
Middle Aged
Neurosurgical Procedures / instrumentation,  methods*
Outcome Assessment (Health Care) / methods
Retrospective Studies
Spinal Fractures / surgery*
Thoracic Vertebrae / surgery*
Young Adult
Comment In:
Eur Spine J. 2011 Jul;20(7):1192; author reply 1193   [PMID:  21243508 ]

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