OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES
ABSTRACT Objective: To analyze the degeneration of the adjacent disc after arthrodesis due to thoracolumbar fractures. Methods: Eighty-three patients who underwent posterolateral arthrodesis in thoracolumbar levels had their x-rays analyzed for degeneration of adjacent discs to the arthrodesis. Th...
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| Format: | Article |
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Sociedade Brasileira de Coluna (SBC)
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| Series: | Coluna/Columna |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400314&lng=en&tlng=en |
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| author | GUSTAVO SERRA REINAS FERNANDO ZANI GARCIA RÉGIS SILVEIRA TEIXEIRA EMILIO CEZAR MAMEDE MURAD RUY YOSHIAKI OKAJI ANDERSON BALESTEIRO FUKOSHIMA ROBERTO RYUITI MIZOBUCHI JOSÉ MARCONDES DA SILVEIRA JUNIOR |
| author_facet | GUSTAVO SERRA REINAS FERNANDO ZANI GARCIA RÉGIS SILVEIRA TEIXEIRA EMILIO CEZAR MAMEDE MURAD RUY YOSHIAKI OKAJI ANDERSON BALESTEIRO FUKOSHIMA ROBERTO RYUITI MIZOBUCHI JOSÉ MARCONDES DA SILVEIRA JUNIOR |
| author_sort | GUSTAVO SERRA REINAS |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze the degeneration of the adjacent disc after arthrodesis due to thoracolumbar fractures. Methods: Eighty-three patients who underwent posterolateral arthrodesis in thoracolumbar levels had their x-rays analyzed for degeneration of adjacent discs to the arthrodesis. The disc spaces were classified by the UCLA scale. Results: Of the 83 patients evaluated, 66 were males (79%) and 18 females (21%), with a mean age of 35.5 years. The mean follow-up period was 40 months. As the fractures 75% were between T12 and L2 (p<0.001), being of the A3 type in 65% of the cases (p<0.001). The most common mechanism of injury, accounting for 50% of the cases (p<0.001), was fall from height. Only 6% of the superior discs and 12% of the inferior ones showed some degree of degeneration. No patient underwent a new surgical approach. Conclusion: The incidence of degeneration on adjacent disc in patients after arthrodesis resulting from fractures ranged from 6% to 12% with an average follow-up of 40 months. |
| first_indexed | 2024-04-13T11:13:00Z |
| format | Article |
| id | doaj.art-2bace0601bb2446b9cb47c6d192ed37d |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-04-13T11:13:00Z |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-2bace0601bb2446b9cb47c6d192ed37d2022-12-22T02:49:04ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X15431431610.1590/s1808-185120161504147198S1808-18512016000400314OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURESGUSTAVO SERRA REINASFERNANDO ZANI GARCIARÉGIS SILVEIRA TEIXEIRAEMILIO CEZAR MAMEDE MURADRUY YOSHIAKI OKAJIANDERSON BALESTEIRO FUKOSHIMAROBERTO RYUITI MIZOBUCHIJOSÉ MARCONDES DA SILVEIRA JUNIORABSTRACT Objective: To analyze the degeneration of the adjacent disc after arthrodesis due to thoracolumbar fractures. Methods: Eighty-three patients who underwent posterolateral arthrodesis in thoracolumbar levels had their x-rays analyzed for degeneration of adjacent discs to the arthrodesis. The disc spaces were classified by the UCLA scale. Results: Of the 83 patients evaluated, 66 were males (79%) and 18 females (21%), with a mean age of 35.5 years. The mean follow-up period was 40 months. As the fractures 75% were between T12 and L2 (p<0.001), being of the A3 type in 65% of the cases (p<0.001). The most common mechanism of injury, accounting for 50% of the cases (p<0.001), was fall from height. Only 6% of the superior discs and 12% of the inferior ones showed some degree of degeneration. No patient underwent a new surgical approach. Conclusion: The incidence of degeneration on adjacent disc in patients after arthrodesis resulting from fractures ranged from 6% to 12% with an average follow-up of 40 months.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400314&lng=en&tlng=enFraturas da coluna vertebralFusão vertebralRegião lombossacralVértebras torácicasDegeneração do disco intervertebralRadiografia. |
| spellingShingle | GUSTAVO SERRA REINAS FERNANDO ZANI GARCIA RÉGIS SILVEIRA TEIXEIRA EMILIO CEZAR MAMEDE MURAD RUY YOSHIAKI OKAJI ANDERSON BALESTEIRO FUKOSHIMA ROBERTO RYUITI MIZOBUCHI JOSÉ MARCONDES DA SILVEIRA JUNIOR OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES Coluna/Columna Fraturas da coluna vertebral Fusão vertebral Região lombossacral Vértebras torácicas Degeneração do disco intervertebral Radiografia. |
| title | OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES |
| title_full | OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES |
| title_fullStr | OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES |
| title_full_unstemmed | OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES |
| title_short | OVERLOAD STUDY ON ADJACENT DISC AFTER ARTHRODESIS IN THORACOLUMBAR FRACTURES |
| title_sort | overload study on adjacent disc after arthrodesis in thoracolumbar fractures |
| topic | Fraturas da coluna vertebral Fusão vertebral Região lombossacral Vértebras torácicas Degeneração do disco intervertebral Radiografia. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400314&lng=en&tlng=en |
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