30-178
Tratamiento de las fracturas vertebrales toracolumbar en fase de secuela. Estudio retrospectivo de 20 casos
Treatment of thoracolumbar vertebral fractures in phase of sequelae.A retrospective study of 20 cases
ISMAEL ESCRIBA ROCA, RAFAEL AGUIRRE GARCIA, TERESA BAS HERMIDA, LUIS PEREZ-MILLAN y JOSÉ LUIS BAS CONESA Unidad de Raquis, Servicio de Traumatología y Cirugía Ortopédica B. Hospital Universitario «La Fe». Valencia.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
A series of 20 patients with thoracolumbar vertebral fractures operated on in
phase of sequelae from march 93 to inarch 94 were retrospectively reviewed. The average delay
in surgical treatment was 29 months. The indication for surgery was deformity and/or pain in
100% of cases. Postraumatic kyphosis was present in 95% of cases. Thirteen patients show
burst fractures, 4 had fracture-dislocations and 3 exhibit fractures due to a flexion-extension
mechanism. When angular kyphosis was less than 30°, spine fusion with osteosynthesis by a posterior
approach provided satisfactory results. In kyphotic deformities greater than 30°, fusion
through an anterior approach was mandatory.
phase of sequelae from march 93 to inarch 94 were retrospectively reviewed. The average delay
in surgical treatment was 29 months. The indication for surgery was deformity and/or pain in
100% of cases. Postraumatic kyphosis was present in 95% of cases. Thirteen patients show
burst fractures, 4 had fracture-dislocations and 3 exhibit fractures due to a flexion-extension
mechanism. When angular kyphosis was less than 30°, spine fusion with osteosynthesis by a posterior
approach provided satisfactory results. In kyphotic deformities greater than 30°, fusion
through an anterior approach was mandatory.
Palabras clave (ES):
Toracolumbar
Secuela
Vertebral
Fractura
Tratamiento
Deformidad
Vértebra
Raquis
Resumen (EN)
A series of 20 patients with thoracolumbar vertebral fractures operated on in
phase of sequelae from march 93 to inarch 94 were retrospectively reviewed. The average delay
in surgical treatment was 29 months. The indication for surgery was deformity and/or pain in
100% of cases. Postraumatic kyphosis was present in 95% of cases. Thirteen patients show
burst fractures, 4 had fracture-dislocations and 3 exhibit fractures due to a flexion-extension
mechanism. When angular kyphosis was less than 30°, spine fusion with osteosynthesis by a posterior
approach provided satisfactory results. In kyphotic deformities greater than 30°, fusion
through an anterior approach was mandatory.
phase of sequelae from march 93 to inarch 94 were retrospectively reviewed. The average delay
in surgical treatment was 29 months. The indication for surgery was deformity and/or pain in
100% of cases. Postraumatic kyphosis was present in 95% of cases. Thirteen patients show
burst fractures, 4 had fracture-dislocations and 3 exhibit fractures due to a flexion-extension
mechanism. When angular kyphosis was less than 30°, spine fusion with osteosynthesis by a posterior
approach provided satisfactory results. In kyphotic deformities greater than 30°, fusion
through an anterior approach was mandatory.
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