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The Correlation Between Vertical Laminar Fractures and the Severity of Related Burst Fractures.

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The Correlation Between Vertical Laminar Fractures and the Severity of Related Burst Fractures.

World Neurosurg. 2018 Jan;109:e829-e834

Authors: Xu JX, Zhou CW, Tang Q, Wang CG, Li JW, Zhang LL, Xu HZ, Tian NF

Summary
BACKGROUND: Sufferers with laminar fractures have the next probability of experiencing extreme trauma and neurologic deficit. In earlier research, laminar fractures have been divided into differing kinds based mostly on the axial airplane of computed tomographic scans. No report described the morphology of vertical laminar fractures within the coronal airplane. Moreover, the correlation between a selected kind of laminar fracture and the extent of severity of thoracolumbar (TL) burst fractures has not often been talked about.
METHODS: A retrospective analysis of 341 sufferers with TL burst fractures with or with out laminar fractures have been divided into 6 teams based mostly on the morphology noticed throughout reconstructed coronal and axial computed tomographic planes. The Thoracolumbar Harm Classification and Severity Rating (TLICS), Load Sharing Classification (LSC), and American Spinal Harm Affiliation (ASIA) impairment scale have been evaluated for every affected person. Intergroup comparisons have been additionally carried out for all metrics.
RESULTS: The TLICS, LSC, and ASIA impairment scale have been decided for every laminar fracture group. Statistical variations have been present in most intergroup comparisons throughout all metrics. Considerably greater damage scores have been noticed within the teams with a extra extreme coronal and axial laminar fracture, and the damage severity within the coronal scan performed a extra decisive function.
CONCLUSIONS: The morphology of vertical laminar fractures as noticed throughout a number of picture planes was extra complicated and correct than an evaluation based mostly solely on the axial airplane. Completely different morphologies indicated variations within the severity of related TL burst fractures. The laminar fracture within the coronal airplane was related to the severity of spinal damage.

PMID: 29107721 [PubMed – indexed for MEDLINE]

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