34-199
Fracturas estallido de columna toracolumbar. Evaluación clinicoradiológica y terapéutica de 90 casos
Burst fractures of the toracolumbar spine. Clinical, radiological and therapeutic analysis on 90 cases
F. MESA RAMOS*, P. HERNÁNDEZ CORTÉS*, G. LÓPEZ MORATALLA*, D. MATEOS PÉREZ*, M. MESA RAMOS**. *SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL CLÍNICO UNIVERSITARIO "SAN CECILIO", GRANADA. **SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL "VALLE DE LOS PEDROCHES", POZOBLANCO, CÓRDOBA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Ninety burst fractures of the thoracolumbar spine
were retrospectively assessed with a minimum follow-up of
12 months. Conservative treatment was indicated in 43
cases, and reduction and surgical stabilization in 47. The aim
was to compare the two treatment modalities according to
fracture stability. Clinical and radiological evaluation included
chronic pain and kyphotic angle progression. No statistical differences
were found between stable and unstable fractures as
to chronic pain. The kyphotic angle average progression for
stable burst fractures was 4.7° and 5.2° for unstable fractures
conservatively treated. There was a high rate of complications
related to instrumentation (21%), particularly when the fracture
was at the thoracolumbar junction and a single level was
fixed. The orthopedic treatment is an acceptable alternative
treatment for stable burst fractures without neurological
injury.
were retrospectively assessed with a minimum follow-up of
12 months. Conservative treatment was indicated in 43
cases, and reduction and surgical stabilization in 47. The aim
was to compare the two treatment modalities according to
fracture stability. Clinical and radiological evaluation included
chronic pain and kyphotic angle progression. No statistical differences
were found between stable and unstable fractures as
to chronic pain. The kyphotic angle average progression for
stable burst fractures was 4.7° and 5.2° for unstable fractures
conservatively treated. There was a high rate of complications
related to instrumentation (21%), particularly when the fracture
was at the thoracolumbar junction and a single level was
fixed. The orthopedic treatment is an acceptable alternative
treatment for stable burst fractures without neurological
injury.
Palabras clave (ES):
Clínica
Radiográfica
Diagnóstico
Fractura
Raquis
Columna
Lumbar
Torácica
Toracolumbar
Estallido
Evaluación
Resumen (EN)
Ninety burst fractures of the thoracolumbar spine
were retrospectively assessed with a minimum follow-up of
12 months. Conservative treatment was indicated in 43
cases, and reduction and surgical stabilization in 47. The aim
was to compare the two treatment modalities according to
fracture stability. Clinical and radiological evaluation included
chronic pain and kyphotic angle progression. No statistical differences
were found between stable and unstable fractures as
to chronic pain. The kyphotic angle average progression for
stable burst fractures was 4.7° and 5.2° for unstable fractures
conservatively treated. There was a high rate of complications
related to instrumentation (21%), particularly when the fracture
was at the thoracolumbar junction and a single level was
fixed. The orthopedic treatment is an acceptable alternative
treatment for stable burst fractures without neurological
injury.
were retrospectively assessed with a minimum follow-up of
12 months. Conservative treatment was indicated in 43
cases, and reduction and surgical stabilization in 47. The aim
was to compare the two treatment modalities according to
fracture stability. Clinical and radiological evaluation included
chronic pain and kyphotic angle progression. No statistical differences
were found between stable and unstable fractures as
to chronic pain. The kyphotic angle average progression for
stable burst fractures was 4.7° and 5.2° for unstable fractures
conservatively treated. There was a high rate of complications
related to instrumentation (21%), particularly when the fracture
was at the thoracolumbar junction and a single level was
fixed. The orthopedic treatment is an acceptable alternative
treatment for stable burst fractures without neurological
injury.
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