Background: Spine fractures account for a large portion of musculoskeletal injuries worldwide. Approximately 75% to 90% of spinal fractures occur in the thoracic and lumbar spine, with most of these occurring at the thoracolumbar junction (T10-L2). Surgical treatment has demonstrated better clinical and radiological results than conservative treatment. Objective: To evaluate the outcome of short-segment fixation with interbody fusion in dorsolumbar fractures clinically and radiologically. Patients and Methods: This study took place at the Neurotrauma Unit of Neurosurgery Department, Zagazig University Hospitals. It included sixteen patients with thoracolumbar fractures treated by short-segment open transpedicular posterior fixation with interbody fusion. Results: Male was the predominant sex (68.7%), mean age was 37.88 years (range: 19-55 years) and the residence in rural areas was 50 % and in urban areas was 50 %. Housewives were the predominant occupation and constitute 31.3%. 81.3% of patients were married. The most prevalent AO spine type of fracture was A3 fracture where it constituted 62.5% of patients, the level of fracture was L2 in 50 % of patients & about 38% had severe pain as reported on VAS score. In our Study there was significant change in ASIA score 12 weeks postoperatively. While 62.5% had E score preoperatively, 87.5% had it 12 weeks postoperatively and 12.5% turned had score C 12 weeks preoperatively versus no one postoperatively had C ASIA score. Conclusion: Surgical treatment of thoracic and lumbar fractures allows for immediate stabilization of the spine, restoration of sagittal alignment, and the possibility of spinal canal decompression.
Rashed, M. E. H., Essa, W. M. E., El-Galladm, A. M. M., & Abo Sleem, M. A. E. (2020). Clinical and Radiological Assessment of Interbody Fusion and Short-Segment Fixation in Dorso-Lumbar Fractures. The Egyptian Journal of Hospital Medicine, 81(3), 1639-1643. doi: 10.21608/ejhm.2020.117020
MLA
Magdy El-Sayed Hassan Rashed; Waleed Mohamed El-Hady Essa; Ashraf Mohamed Mohamed El-Galladm; Mohamed Abdelfattah Elsayed Abo Sleem. "Clinical and Radiological Assessment of Interbody Fusion and Short-Segment Fixation in Dorso-Lumbar Fractures", The Egyptian Journal of Hospital Medicine, 81, 3, 2020, 1639-1643. doi: 10.21608/ejhm.2020.117020
HARVARD
Rashed, M. E. H., Essa, W. M. E., El-Galladm, A. M. M., Abo Sleem, M. A. E. (2020). 'Clinical and Radiological Assessment of Interbody Fusion and Short-Segment Fixation in Dorso-Lumbar Fractures', The Egyptian Journal of Hospital Medicine, 81(3), pp. 1639-1643. doi: 10.21608/ejhm.2020.117020
VANCOUVER
Rashed, M. E. H., Essa, W. M. E., El-Galladm, A. M. M., Abo Sleem, M. A. E. Clinical and Radiological Assessment of Interbody Fusion and Short-Segment Fixation in Dorso-Lumbar Fractures. The Egyptian Journal of Hospital Medicine, 2020; 81(3): 1639-1643. doi: 10.21608/ejhm.2020.117020
)
View on SCiNiTO