Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture
Background: Fracture dislocation at the junction between thoracic and lumber segments of spinal column by direct or indirect high energy force which is usually managed with more than three vertebral level fixation. Short segment stabilization have a wide range of benefits including length of time ut...
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| Format: | Article |
| Language: | English |
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College of Medicine University of Baghdad
2017-10-01
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| Series: | مجلة كلية الطب |
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| Online Access: | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/84 |
| _version_ | 1797368674741387264 |
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| author | Hayder A. Alhemiary Dhuha F. Almayoof |
| author_facet | Hayder A. Alhemiary Dhuha F. Almayoof |
| author_sort | Hayder A. Alhemiary |
| collection | DOAJ |
| description | Background: Fracture dislocation at the junction between thoracic and lumber segments of spinal column by direct or indirect high energy force which is usually managed with more than three vertebral level fixation. Short segment stabilization have a wide range of benefits including length of time utilized for surgical intervention, reduce functional and psychological disability postoperatively and local surgical site complications.
Objective: Evaluate the efficacy of posterior short segment pedicle stabilization in T-L fracture clinically and radiologically. Also to compare outcome of pedicle fixation by long segment and short segment an finally we try to insert at least one screw in the fracture vertebra to strengthen the stabilization in case of short segment stabilisation.
Patients and Method: This is a prospective study of 40 patients operated in medical city from Jan. 2013 to Dec. 2015.complaining from T-L fracture (T12, L1, L2) due to any type of trauma. A total of 17 of the patients (13 male and 4 female) underwent long segment fixation (group A) whereas 23(15 male and 8 female) of those patients have short segment fixation (group B). Long segment fixation includes two levels above and one or two level below with or without single screw placed in the vertebra that is broken. While short fixation involving vertebra above and vertebra below the fracture one.
Results: In tis prospective male commonly involved with the mean age 35-40 years in both groups, also most common involved vertebrae was 1st lumber. According to Modified Mcnab criteria, good result acquired by most of the patients, and using radiological Cobb angle evaluation significant loss of correction occur.
Conclusions: Short segment fixation in Thoracolumar region as effective as long segment. Short segment fixations are low coast with little complications at surgical site and need less blood replacement with less restriction of movement at the thoracolumbar junction. |
| first_indexed | 2024-03-08T17:36:01Z |
| format | Article |
| id | doaj.art-907aa9220d8c4956a65fa0a5ba2b58b6 |
| institution | Directory Open Access Journal |
| issn | 0041-9419 2410-8057 |
| language | English |
| last_indexed | 2024-03-08T17:36:01Z |
| publishDate | 2017-10-01 |
| publisher | College of Medicine University of Baghdad |
| record_format | Article |
| series | مجلة كلية الطب |
| spelling | doaj.art-907aa9220d8c4956a65fa0a5ba2b58b62024-01-02T12:43:37ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572017-10-0159310.32007/med.1936/jfacmedbagdad.v59i3.2Short segment versus long segment posterior pedicular fixation of thoracolumbar fractureHayder A. Alhemiary0Dhuha F. Almayoof1Dept. of neurosurgery, Alshaheed Ghazi, Medical city.Radiologist, Radiology department, Alshaheed Ghazi, Medical city.Background: Fracture dislocation at the junction between thoracic and lumber segments of spinal column by direct or indirect high energy force which is usually managed with more than three vertebral level fixation. Short segment stabilization have a wide range of benefits including length of time utilized for surgical intervention, reduce functional and psychological disability postoperatively and local surgical site complications. Objective: Evaluate the efficacy of posterior short segment pedicle stabilization in T-L fracture clinically and radiologically. Also to compare outcome of pedicle fixation by long segment and short segment an finally we try to insert at least one screw in the fracture vertebra to strengthen the stabilization in case of short segment stabilisation. Patients and Method: This is a prospective study of 40 patients operated in medical city from Jan. 2013 to Dec. 2015.complaining from T-L fracture (T12, L1, L2) due to any type of trauma. A total of 17 of the patients (13 male and 4 female) underwent long segment fixation (group A) whereas 23(15 male and 8 female) of those patients have short segment fixation (group B). Long segment fixation includes two levels above and one or two level below with or without single screw placed in the vertebra that is broken. While short fixation involving vertebra above and vertebra below the fracture one. Results: In tis prospective male commonly involved with the mean age 35-40 years in both groups, also most common involved vertebrae was 1st lumber. According to Modified Mcnab criteria, good result acquired by most of the patients, and using radiological Cobb angle evaluation significant loss of correction occur. Conclusions: Short segment fixation in Thoracolumar region as effective as long segment. Short segment fixations are low coast with little complications at surgical site and need less blood replacement with less restriction of movement at the thoracolumbar junction.http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/84Thoracolumber vertebrae, fracture, short segment, long segment, fixation, intermediate screw. |
| spellingShingle | Hayder A. Alhemiary Dhuha F. Almayoof Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture مجلة كلية الطب Thoracolumber vertebrae, fracture, short segment, long segment, fixation, intermediate screw. |
| title | Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture |
| title_full | Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture |
| title_fullStr | Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture |
| title_full_unstemmed | Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture |
| title_short | Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture |
| title_sort | short segment versus long segment posterior pedicular fixation of thoracolumbar fracture |
| topic | Thoracolumber vertebrae, fracture, short segment, long segment, fixation, intermediate screw. |
| url | http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/84 |
| work_keys_str_mv | AT hayderaalhemiary shortsegmentversuslongsegmentposteriorpedicularfixationofthoracolumbarfracture AT dhuhafalmayoof shortsegmentversuslongsegmentposteriorpedicularfixationofthoracolumbarfracture |