Epidemiological study and clinical and occupational results in thoracic and lumbar fractures treated with arthrodesis and posterior instrumentation

Lorente Moreno R.; Miranda Garcia-Cuevas M. T.; Dominguez Melendez M.

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Epidemiological study and clinical and occupational results in thoracic and lumbar fractures treated with arthrodesis and posterior instrumentation

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Objective: To assess long term outcome of thoracic and lumber fractures treated only by the posterior approach and verify loss of correction. Material and Methods: The study was based on 91 patients with thoracic and lumbar fractures with no neurological damage operated on with posterior instrumentation and posterolateral arthrodesis over a period of 15 years. The clinical course of kyphosis and vertebral crushing on the lateral X-ray was statistically analyzed over a period of at least 6 years. Results: We did not find any differences in clinical course or hospital stay with regard to age or sex. However, we did find differences in complications with the use of long instrumentation and both in the long and short instrumentation there was a loss of correction over time that was greater with the short instrumentation. Conclusion: Plain X-ray of spine is useful for the follow up and control of the course in the sagittal plane of thoracic and lumbar fractures, the most sensitive parameter being fracture angle.

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《Trauma》 |2011年第3期|148-154|共7页
作者
Lorente Moreno R.; Miranda Garcia-Cuevas M. T.; Dominguez Melendez M.;
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Univ Extremadura;

Univ Extremadura;

Univ Extremadura;

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正文语种西班牙语; 卡斯蒂利
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Chest and lumbar spine; kyphosis; instrumentation; lateral X-ray;

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Epidemiological study and clinical and occupational results in thoracic and lumbar fractures treated with arthrodesis and posterior instrumentation

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