Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome

Abstract Background Thoracolumbar fractures represent a widespread injuries that can cause significant disability and strain the healthcare system. Different surgical approaches are described in the literature. This study was conducted to evaluate the fractured level inclusion in short-segment fixat...

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Autores principales: Ali R. Hamdan, Radwan Nouby Mahmoud, Ahmed G. Tammam, Eslam El-Sayed El-Khateeb
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Lenguaje:EN
Publicado: SpringerOpen 2021
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Acceso en línea:https://doaj.org/article/d849fb0d1ab84469a4ce8d46bea5a54d
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spelling oai:doaj.org-article:d849fb0d1ab84469a4ce8d46bea5a54d2021-12-05T12:19:28ZInclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome10.1186/s41984-021-00137-72520-8225https://doaj.org/article/d849fb0d1ab84469a4ce8d46bea5a54d2021-12-01T00:00:00Zhttps://doi.org/10.1186/s41984-021-00137-7https://doaj.org/toc/2520-8225Abstract Background Thoracolumbar fractures represent a widespread injuries that can cause significant disability and strain the healthcare system. Different surgical approaches are described in the literature. This study was conducted to evaluate the fractured level inclusion in short-segment fixation of thoracolumbar junction spine fractures. Results Preoperative neurological deficit was reported in seven patients ranging from ASIA grade C to D. All of these patients improved to grade E by the end of the follow-up period, except for one patient who improved from grade C to D. The mean Oswestry Disability Index was 19.87%. The mean postoperative Cobb angle was 11.77° which significantly improved compared to a preoperative value of 19.37°. There was a significant improvement in the postoperative anterior and posterior vertebral body height compared to the preoperative values. The vertebral body compression ratio significantly improved during the postoperative period to a mean of 84% compared to 76% preoperative. Conclusions There was significant improvement of the postoperative values of the mean Cobb angle, the anterior and the posterior vertebral body height as well as the vertebral body compression ratio compared to the preoperative values.Ali R. HamdanRadwan Nouby MahmoudAhmed G. TammamEslam El-Sayed El-KhateebSpringerOpenarticleThoracolumbar fracturesShort segment fixationInclusion of the fractured levelSurgeryRD1-811Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENEgyptian Journal of Neurosurgery, Vol 36, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Thoracolumbar fractures
Short segment fixation
Inclusion of the fractured level
Surgery
RD1-811
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Thoracolumbar fractures
Short segment fixation
Inclusion of the fractured level
Surgery
RD1-811
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Ali R. Hamdan
Radwan Nouby Mahmoud
Ahmed G. Tammam
Eslam El-Sayed El-Khateeb
Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
description Abstract Background Thoracolumbar fractures represent a widespread injuries that can cause significant disability and strain the healthcare system. Different surgical approaches are described in the literature. This study was conducted to evaluate the fractured level inclusion in short-segment fixation of thoracolumbar junction spine fractures. Results Preoperative neurological deficit was reported in seven patients ranging from ASIA grade C to D. All of these patients improved to grade E by the end of the follow-up period, except for one patient who improved from grade C to D. The mean Oswestry Disability Index was 19.87%. The mean postoperative Cobb angle was 11.77° which significantly improved compared to a preoperative value of 19.37°. There was a significant improvement in the postoperative anterior and posterior vertebral body height compared to the preoperative values. The vertebral body compression ratio significantly improved during the postoperative period to a mean of 84% compared to 76% preoperative. Conclusions There was significant improvement of the postoperative values of the mean Cobb angle, the anterior and the posterior vertebral body height as well as the vertebral body compression ratio compared to the preoperative values.
format article
author Ali R. Hamdan
Radwan Nouby Mahmoud
Ahmed G. Tammam
Eslam El-Sayed El-Khateeb
author_facet Ali R. Hamdan
Radwan Nouby Mahmoud
Ahmed G. Tammam
Eslam El-Sayed El-Khateeb
author_sort Ali R. Hamdan
title Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
title_short Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
title_full Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
title_fullStr Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
title_full_unstemmed Inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
title_sort inclusion of the fractured level into the construct of short segment fixation in patients with thoracolumbar fractures: clinical and radiological outcome
publisher SpringerOpen
publishDate 2021
url https://doaj.org/article/d849fb0d1ab84469a4ce8d46bea5a54d
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AT ahmedgtammam inclusionofthefracturedlevelintotheconstructofshortsegmentfixationinpatientswiththoracolumbarfracturesclinicalandradiologicaloutcome
AT eslamelsayedelkhateeb inclusionofthefracturedlevelintotheconstructofshortsegmentfixationinpatientswiththoracolumbarfracturesclinicalandradiologicaloutcome
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