INTRODUCTION: The currently accepted treatment of thoracolumbar fractures is reduction, decompression, fixation and arthrodesis. However, it is not the perfect solution due to the medium- and long-term consequences of arthrodesis, which include the wear of the adjacent segments above and below. Some previous studies have proposed the treatment with fixation without arthrodesis. However, there are no reports on the medium- and long-term clinical and radiographic follow-up. MATERIAL AND METHODS: Two 20-patient groups treated with transpedicular fixation and decompression, one with and one without posterolateral arthrodesis, were compared. RESULTS: CONTROL GROUP: The mean hospital stay was 5 days. The postoperative visual analog scale pain score was 2-3 in 4 patients; the rest were asymptomatic. The functional Oswestry disability index was 8.3%. The functional economic rehabilitation scale was 4.55. Case group: The mean hospital stay was 5 days. The postoperative visual analog scale pain score was 1-2 in 2 patients; the rest were asymptomatic. The functional Oswestry disability index was 6.3%. The functional economic rehabilitation scale was 6.4. CONCLUSIONS: Both groups had very similar results. The group without arthrodesis had better results in the Oswestry functional disability scale and the functional economic rehabilitation scale
Keywords : Adult,Arthrodesis,Female,Follow-Up Studies,Humans,injuries,Longitudinal Studies,Lumbar Vertebrae,Male,methods,Pain,rehabilitation,Spinal Fractures,Spinal Fusion,Spine,surgery,Thoracic Vertebrae,Time Factors,, Between,Arthrodesis,Nonarthrodesis, heat treatment for frozen shoulder
Date of Publication : 2011 Jan
Authors : pizar-Aguirre A;Riquelme-Molina LM;Zarate-Kalfopulos B;Sanchez-Bringas G;Rosales-Olivares LM;Reyes-Sanchez A;
Organisation : Servicio de Cirugia de Columna Vertebral, Instituto Nacional de Rehabilitacion, Secretaria Salud, DF Mexico
Journal of Publication : Acta Ortop Mex
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21548257
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews