Journal
UNFALLCHIRURG
Volume 106, Issue 1, Pages 20-27Publisher
SPRINGER
DOI: 10.1007/s00113-002-0459-7
Keywords
thoracolumbar fractures; conservative treatment; operative treatment; fracture localization
Categories
Ask authors/readers for more resources
Question. This retrospective study presents results after conservative and operative treatment of thoracolumbar fractures as function of its localization. Methodology. In 2 years 70 patients with A1/A2 fracture were conservatively treated, 38 patients with A3/B/C injury were treated by internal fixtor. For evaluation 3 vertebral sections (Th5-10,Th11-L2, L3-5) were defined. Follow-up took place 1 year after implant removal or end of conservative treatment. Results. The correction-loss was highest in thoracic, lowest in lumbar region. After conservative therapy, correction-loss was located to 3/4 in vertebra itself, after operative treatment especially in adjacent disc spaces. There was no general correlation to complaints. Conclusion. In consequence of these results A1/A2-fractures in the upper thoracic spine (< Th10) with kyphosis > 15degrees will be stabilized anteriorly, in other regions functional treated. A3-fractures of thoracic spine and thoracolumbar junction will be operated from anterior, in lower lumbar spine (> L3) from dorsal. B- and C-injuries should be instrumented with a combined dorsoventral procedure.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available