The Relationship between Superior Disc-Endplate Advanced Damage and Correction Loss in Younger Grownup Sufferers with Thoracolumbar Steady Burst Fracture.
Clin Orthop Surg. 2017 Dec;9(four):465-471
Authors: Lee KY, Kim MW, Seok SY, Kim DR, Im CS
Background: To find out the connection between superior disc-endplate complicated harm and correction loss after surgical procedure in a bunch of younger grownup sufferers with a steady thoracolumbar burst fracture.
Strategies: The examine group was comprised of younger grownup sufferers who had undergone short-segment posterior fixation and bone grafting below the prognosis of a steady thoracolumbar burst fracture from March 2008 to February 2014. Observe-up was out there for greater than 1 yr. Earlier than surgical procedure, magnetic resonance imaging was carried out to find out harm to the anterior longitudinal ligament, posterior longitudinal ligament, and superior and inferior intervertebral discs and endplates. Correction loss was evaluated by the Cobb angle, intervertebral disc peak, higher intervertebral disc angle, vertebral wedge angle, and vertebral physique peak.
Outcomes: No vital relation was famous between correction loss and an harm to the anterior longitudinal ligament, posterior longitudinal ligament, inferior intervertebral disc/endplate, and fracture website, whereas an harm to the superior endplate alone and superior disc-endplate complicated confirmed a major affiliation. Particularly, a superior intervertebral disc-endplate complicated harm confirmed statistically vital relation to postoperative adjustments in Cobb angle (p = zero.026) and vertebral wedge angle (p = zero.047).
Conclusions: A superior intervertebral disc-endplate complicated harm could have an affect on the prognosis after short-segment fixation in younger grownup sufferers with a steady thoracolumbar burst fracture.
PMID: 29201299 [PubMed – indexed for MEDLINE]