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首页> 外文期刊>Open Journal of Modern Neurosurgery >Surgical Management of Lumbar and Thoracolumbar Spinal Fractures: Indications, Surgical Technique and Evaluation on a Series of 64 Patients Treated with Percutaneous Posterior Osteosynthesis Combined with Kyphoplasty or Anterior Arthrodesis
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Surgical Management of Lumbar and Thoracolumbar Spinal Fractures: Indications, Surgical Technique and Evaluation on a Series of 64 Patients Treated with Percutaneous Posterior Osteosynthesis Combined with Kyphoplasty or Anterior Arthrodesis

机译：腰椎和胸腰椎脊柱骨折的外科治疗：适应症，外科技术和对64例经皮后路骨合成联合后凸成形术或前路关节固定术治疗的患者的评估

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style="text-align:justify;"> style="font-family:Verdana;">Introduction style="font-family:Verdana;">: style="font-family:;" "=""> style="font-family:Verdana;"> Fractures of the lumbar spine and thoracolumbar junction are common in spinal trauma. The aim of this work is to analyze the nature of the indications, the morbidity as well as the results of these treatment regimens. style="font-family:Verdana;">Patients and Methods style="font-family:Verdana;">: style="font-family:Verdana;"> A retrospective, single-center study, based on a review of 64 patients with lumbar spine and thoracolumbar junction fractures (T10-L2) without neurological disorders, was collected in the neurosurgery department of the North Hospital and University Hospital (CHU), Marseille over a period of 2 years from January 2015 to December 2016. Posterior percutaneous osteosynthesis were more or less associated with kyphoplasty preceded anterior arthrodesis. Clinical and radiological endpoints were collected at least 6 months later. style="font-family:Verdana;">R style="font-family:Verdana;">esults: style="font-family:Verdana;">The mean follow-up was 9.5 months (6 - 24). The clinical evaluation found a mean VAS at last follow-up at 14/100 (0 - 30) and an average Oswestry score at the last follow-up at 88%. The initial average vertebral kyphosis went from 13° to 4° at the last follow-up with a correction loss of 1°, an absolute gain of 8°. No postoperative neurological complications were noted in our series. style="font-family:Verdana;">Conclusion style="font-family:Verdana;">: style="font-family:Verdana;"> The implementation of a two-step therapeutic strategy with anterior reconstruction in Magerl’s lumbar spine or A3.3 thoracolumbar junction fractures allows effective and long-lasting correction of lumbar lordosis and thoracic kyphosis, and obtaining a balanced spine in the sagittal plane. Our functional results are close to normal, with low morbidity and a low complication rate.
机译：style =“ text-align：justify;”> style =“ font-family：Verdana;”>简介 style =“ font-family：Verdana;”>： style =“ font-family :;”腰椎和胸腰椎交界处的骨折在脊柱外伤中很常见。这项工作的目的是分析适应症的性质以及发病率。 style =“ font-family：Verdana;”>患者和方法 style =“ font-family ：Verdana;“>： style =” font-family：Verdana;“>一项回顾性单中心研究，该研究基于对64例腰椎和胸腰椎交界处骨折患者的回顾（从2015年1月至2016年12月，在2年的时间里，从马赛北部医院和大学医院（CHU）的神经外科收集了无神经系统疾病的T10-L2）。至少六个月后收集了临床和放射学终点。 style =“ font-family：Verdana;”> R style =“ font-family：Verdana;”>结果： style =“ font-family：Verdana;”>平均随访时间为9.5个月（6-24）。临床评估发现最后一次随访的平均VAS为14/100（0-30），而最后一次随访的平均Oswestry评分为88％。在最后一次随访中，最初的平均椎体后凸畸形从13°变为4°，矫正损失为1°，绝对增益为8°。在我们的系列中没有发现术后神经系统并发症。 style =“ font-family：Verdana;”>结论 style =“ font-family：Verdana;”>： style =“ font-family：Verdana;”>在Magerl的腰椎或A3.3胸腰椎交界处骨折的前路重建两步治疗策略的实施可有效且持久地矫正腰椎前凸和胸椎后凸畸形，并在矢状面获得平衡的脊柱。我们的功能结果接近正常，发病率低，并发症发生率低。

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