39-219
Tratamiento de fracturas toracolumbares. Nuestra experiencia en el periodo 2000-2003. Protocolo de actuación
Surgical treatment of thoraco-lumbar fractures. Our experience during years 2000 to 2003. Protocol of action
A.L. PÉREZ ABELA, R.M. ÁLVAREZ OSUNA, F. ACOSTA COLLADO, A. CAÑADAS DEL CASTILLO, T.N. GODOY ABAD SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO VIRGEN DE LAS NIEVES DE GRANADA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
We present the results of surgical treatment in
patients with thoraco-lumbar fractures operated on between
the years 2000 and 2003 at the Orthopedic and Traumatology
Department of the hospital Virgen de las Nieves Hospital of
Granada, Spain. The diagnosis and therapeutic protocol of
this type of patients is also evaluated. A3 type from AO classification
fracture of L1, was the most frequent injury. Posterior
surgical approach of the spine was mainly used (138 cases),
in 132 cases the fracture was stabilized by means of internal
fixation and 39 cases required decompression of the lumbar
canal. The average sagital index was 17,5º preoperative and
3,5º after surgery. The average loss of height was 52% preoperative
and 14% at the end of treatment. In 39 surgical
decompression was indicated for neurological impairment.
Excellent results were obtained in 79% of the cases, the rest
were fair and poor.
patients with thoraco-lumbar fractures operated on between
the years 2000 and 2003 at the Orthopedic and Traumatology
Department of the hospital Virgen de las Nieves Hospital of
Granada, Spain. The diagnosis and therapeutic protocol of
this type of patients is also evaluated. A3 type from AO classification
fracture of L1, was the most frequent injury. Posterior
surgical approach of the spine was mainly used (138 cases),
in 132 cases the fracture was stabilized by means of internal
fixation and 39 cases required decompression of the lumbar
canal. The average sagital index was 17,5º preoperative and
3,5º after surgery. The average loss of height was 52% preoperative
and 14% at the end of treatment. In 39 surgical
decompression was indicated for neurological impairment.
Excellent results were obtained in 79% of the cases, the rest
were fair and poor.
Palabras clave (ES):
Protocolo
Fractura
Raquis
Columna
Verebral
Torácica
Lumbar
Toracolumbar
Tratamiento
Resumen (EN)
We present the results of surgical treatment in
patients with thoraco-lumbar fractures operated on between
the years 2000 and 2003 at the Orthopedic and Traumatology
Department of the hospital Virgen de las Nieves Hospital of
Granada, Spain. The diagnosis and therapeutic protocol of
this type of patients is also evaluated. A3 type from AO classification
fracture of L1, was the most frequent injury. Posterior
surgical approach of the spine was mainly used (138 cases),
in 132 cases the fracture was stabilized by means of internal
fixation and 39 cases required decompression of the lumbar
canal. The average sagital index was 17,5º preoperative and
3,5º after surgery. The average loss of height was 52% preoperative
and 14% at the end of treatment. In 39 surgical
decompression was indicated for neurological impairment.
Excellent results were obtained in 79% of the cases, the rest
were fair and poor.
patients with thoraco-lumbar fractures operated on between
the years 2000 and 2003 at the Orthopedic and Traumatology
Department of the hospital Virgen de las Nieves Hospital of
Granada, Spain. The diagnosis and therapeutic protocol of
this type of patients is also evaluated. A3 type from AO classification
fracture of L1, was the most frequent injury. Posterior
surgical approach of the spine was mainly used (138 cases),
in 132 cases the fracture was stabilized by means of internal
fixation and 39 cases required decompression of the lumbar
canal. The average sagital index was 17,5º preoperative and
3,5º after surgery. The average loss of height was 52% preoperative
and 14% at the end of treatment. In 39 surgical
decompression was indicated for neurological impairment.
Excellent results were obtained in 79% of the cases, the rest
were fair and poor.
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