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Thoracolumbar fractures after the 2023 Türkiye earthquake and controversial mechanism of occurrence – Lumbar Spinal Stenosis

The article focuses on thoracolumbar fractures that occurred as a result of the 2023 Turkey Earthquake. The study reviewed the data of 15 patients who were affected by the earthquake and subsequently treated for spinal fractures. The patients’ clinical, radiological, and surgical features were recorded, and the outcomes were investigated. Among the patients, 80% were categorized as having Frankel E classification, indicating no neurological deficits, while the remaining patients had varying degrees of neurological deficits. Six patients underwent surgical treatment, while nine patients received conservative treatment. The article concludes that thoracolumbar fractures are frequently observed after earthquakes, and surgical management should be reserved for patients with progressive neurological deficits, while conservative treatment is an option for stable fractures

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced treatment hospital on Harley Street UK

Published article

CONCLUSION: Thoracolumbar fractures are frequently observed after earthquakes. However, the exact mechanism of these fractures is not well known. Surgical management should be reserved for patients with progressive neurological deficits, while conservative treatment is the option for stable fractures.

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Ulus Travma Acil Cerrahi Derg. 2023 Nov;29(11):1303-1307. doi: 10.14744/tjtes.2023.75976.ABSTRACTBACKGROUND: Earthquakes are devastating events that may severely injure the human body. The spine is one of the important parts of the human body that may be affected by earthquake trauma. The aim of this study is to focus on thoracolumbar fractures secondary to the 2023 Turkey,

Ulus Travma Acil Cerrahi Derg. 2023 Nov;29(11):1303-1307. doi: 10.14744/tjtes.2023.75976.

ABSTRACT

BACKGROUND: Earthquakes are devastating events that may severely injure the human body. The spine is one of the important parts of the human body that may be affected by earthquake trauma. The aim of this study is to focus on thoracolumbar fractures secondary to the 2023 Turkey Earthquake.

METHODS: The data of 15 patients who were affected by the earthquake, rescued from the rubble, and subsequently treated for spinal fractures in our department were reviewed retrospectively. The clinical, radiological, and surgical features of the patients were recorded, and the outcomes were investigated.

RESULTS: Among the 15 patients, 12 were female, and 3 were male. Their ages ranged from 22 to 79 years. The average duration of being trapped under debris was 4.7 hours. According to the Frankel classification, 12 patients (80%) were categorized as Frankel E, 2 patients (13.3%) as Frankel A, and 1 patient (6.6%) as Frankel C. Of these patients, 6 underwent surgical treatment, while a total of 9 patients received conservative treatment. Multiple vertebral fractures were identified in 4 patients. While 3 patients with multiple fractures were treated conservatively, 1 patient underwent surgery due to an L1 fracture. All surgeries consisted of spinal canal de-compression and spinal instrumentation. Among patients without thoracolumbar junction fractures, 1 had a T8 fracture, 1 had an L4 fracture, and 1 had a sacral fracture along with an accompanying lumbar plexus injury.

CONCLUSION: Thoracolumbar fractures are frequently observed after earthquakes. However, the exact mechanism of these fractures is not well known. Surgical management should be reserved for patients with progressive neurological deficits, while conservative treatment is the option for stable fractures.

PMID:37889034 | DOI:10.14744/tjtes.2023.75976

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Thoracolumbar fractures after the 2023 Türkiye earthquake and controversial mechanism of occurrence

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Ulus Travma Acil Cerrahi Derg. 2023 Nov;29(11):1303-1307. doi: 10.14744/tjtes.2023.75976.ABSTRACTBACKGROUND: Earthquakes are devastating events that may severely injure the human body. The spine is one of the important parts of the human body that may be affected by earthquake trauma. The aim of this study is to focus on thoracolumbar fractures secondary to the 2023 Turkey

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