Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach
We aimed to describe the surgical technique and clinical outcomes of paraspinal-approach reduction and fixation (PARF) in a group of patients with Denis type B thoracolumbar burst fracture (TLBF) with neurological deficiencies. A total of 62 patients with Denis B TLBF with neurological deficiencies...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2016-11-01
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| Series: | Brazilian Journal of Medical and Biological Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/bjmbr/v49n11/1414-431X-bjmbr-1414-431X20165599.pdf |
| _version_ | 1798016276388380672 |
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| author | H. Wu D.-X. Zhao R. Jiang X.-Y. Zhou |
| author_facet | H. Wu D.-X. Zhao R. Jiang X.-Y. Zhou |
| author_sort | H. Wu |
| collection | DOAJ |
| description | We aimed to describe the surgical technique and clinical outcomes of paraspinal-approach reduction and fixation (PARF) in a group of patients with Denis type B thoracolumbar burst fracture (TLBF) with neurological deficiencies. A total of 62 patients with Denis B TLBF with neurological deficiencies were included in this study between January 2009 and December 2011. Clinical evaluations including the Frankel scale, pain visual analog scale (VAS) and radiological assessment (CT scans for fragment reduction and X-ray for the Cobb angle, adjacent superior and inferior intervertebral disc height, and vertebral canal diameter) were performed preoperatively and at 3 days, 6 months, and 1 and 2 years postoperatively. All patients underwent successful PARF, and were followed-up for at least 2 years. Average surgical time, blood loss and incision length were recorded. The sagittal vertebral canal diameter was significantly enlarged. The canal stenosis index was also improved. Kyphosis was corrected and remained at 8.6±1.4o (P>0.05) 1 year postoperatively. Adjacent disc heights remained constant. Average Frankel grades were significantly improved at the end of follow-up. All 62 patients were neurologically assessed. Pain scores decreased at 6 months postoperatively, compared to before surgery (P<0.05). PARF provided excellent reduction for traumatic segmental kyphosis, and resulted in significant spinal canal clearance, which restored and maintained the vertebral body height of patients with Denis B TLBF with neurological deficits. |
| first_indexed | 2024-04-11T15:48:21Z |
| format | Article |
| id | doaj.art-aaf3d9b1c4054cc1bec9a1bf80121ed5 |
| institution | Directory Open Access Journal |
| issn | 1414-431X |
| language | English |
| last_indexed | 2024-04-11T15:48:21Z |
| publishDate | 2016-11-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-aaf3d9b1c4054cc1bec9a1bf80121ed52022-12-22T04:15:28ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2016-11-01491110.1590/1414-431x20165599Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approachH. WuD.-X. ZhaoR. JiangX.-Y. ZhouWe aimed to describe the surgical technique and clinical outcomes of paraspinal-approach reduction and fixation (PARF) in a group of patients with Denis type B thoracolumbar burst fracture (TLBF) with neurological deficiencies. A total of 62 patients with Denis B TLBF with neurological deficiencies were included in this study between January 2009 and December 2011. Clinical evaluations including the Frankel scale, pain visual analog scale (VAS) and radiological assessment (CT scans for fragment reduction and X-ray for the Cobb angle, adjacent superior and inferior intervertebral disc height, and vertebral canal diameter) were performed preoperatively and at 3 days, 6 months, and 1 and 2 years postoperatively. All patients underwent successful PARF, and were followed-up for at least 2 years. Average surgical time, blood loss and incision length were recorded. The sagittal vertebral canal diameter was significantly enlarged. The canal stenosis index was also improved. Kyphosis was corrected and remained at 8.6±1.4o (P>0.05) 1 year postoperatively. Adjacent disc heights remained constant. Average Frankel grades were significantly improved at the end of follow-up. All 62 patients were neurologically assessed. Pain scores decreased at 6 months postoperatively, compared to before surgery (P<0.05). PARF provided excellent reduction for traumatic segmental kyphosis, and resulted in significant spinal canal clearance, which restored and maintained the vertebral body height of patients with Denis B TLBF with neurological deficits.http://www.scielo.br/pdf/bjmbr/v49n11/1414-431X-bjmbr-1414-431X20165599.pdfThoracolumbar burst fractureParaspinal approachNeurological deficiencySurgery treatment |
| spellingShingle | H. Wu D.-X. Zhao R. Jiang X.-Y. Zhou Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach Brazilian Journal of Medical and Biological Research Thoracolumbar burst fracture Paraspinal approach Neurological deficiency Surgery treatment |
| title | Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach |
| title_full | Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach |
| title_fullStr | Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach |
| title_full_unstemmed | Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach |
| title_short | Surgical treatment of Denis type B thoracolumbar burst fracture with neurological deficiency by paraspinal approach |
| title_sort | surgical treatment of denis type b thoracolumbar burst fracture with neurological deficiency by paraspinal approach |
| topic | Thoracolumbar burst fracture Paraspinal approach Neurological deficiency Surgery treatment |
| url | http://www.scielo.br/pdf/bjmbr/v49n11/1414-431X-bjmbr-1414-431X20165599.pdf |
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