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The Relationship between Superior Disc-Endplate Complicated Harm 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
Summary
Background: To find out the connection between superior disc-endplate complicated damage and correction loss after surgical procedure in a gaggle of younger grownup sufferers with a secure thoracolumbar burst fracture.
Strategies: The research group was comprised of younger grownup sufferers who had undergone short-segment posterior fixation and bone grafting below the analysis of a secure thoracolumbar burst fracture from March 2008 to February 2014. Comply with-up was out there for greater than 1 12 months. Earlier than surgical procedure, magnetic resonance imaging was carried out to find out damage 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 damage to the anterior longitudinal ligament, posterior longitudinal ligament, inferior intervertebral disc/endplate, and fracture website, whereas an damage to the superior endplate alone and superior disc-endplate complicated confirmed a major affiliation. Particularly, a superior intervertebral disc-endplate complicated damage confirmed statistically vital relation to postoperative modifications in Cobb angle (p = zero.026) and vertebral wedge angle (p = zero.047).
Conclusions: A superior intervertebral disc-endplate complicated damage might have an affect on the prognosis after short-segment fixation in younger grownup sufferers with a secure thoracolumbar burst fracture.
PMID: 29201299 [PubMed – indexed for MEDLINE]