Neurological Deficit and Canal Compromise in Thoracolumbar and Lumbar Burst Fractures

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Neurological deficit and canal compromise in thoracolumbar and lumbar burst fractures.

PURPOSE To assess whether canal compromise determines neurological deficit in thoracolumbar and lumbar burst fractures. METHODS 105 patients aged 17 to 60 (mean, 34) years who had burst fractures in the thoracolumbar (n=82) and lumbar (n=23) regions were included. Fractures were classified according to the Denis classification. The extent of spinal canal compromise was assessed by computed to...

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Thoracolumbar and Lumbar Burst Fractures

Approximately 79,000 spinal fractures occur annually in the United States. Roughly three out of every four fractures involve either the thoracic or the lumbar spine1,2. The most common site of injury in the thoracic and lumbar spine is the thoracolumbar junction, the mechanical transition zone between the relatively rigid thoracic spine and the more flexible lumbar region3-5. The thoracolumbar ...

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CT scan prediction of neurological deficit in thoracolumbar burst fractures.

In 139 patients with burst fractures of the thoracic, thoracolumbar or lumbar spine, the least sagittal diameter of the spinal canal at the level of injury was measured by computerised tomography. By multiple logistic regression we investigated the joint correlation of the level of the burst fracture and the percentage of spinal canal stenosis with the probability of an associated neurological ...

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Does 'canal clearance' affect neurological outcome after thoracolumbar burst fractures?

Surgical decompression of the spinal canal is presently accepted worldwide as the method of treatment for thoracolumbar burst fractures with neurological deficit in the belief that neurological recovery may be produced or enhanced. Our clinical and laboratory experience, however, indicates that the paralysis occurs at the moment of injury and is not related to the position of the fragments of t...

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Does ‘canal Clearance’ Affect Neurological Outcome after Thoracolumbar Burst Fractures?

Surgical decompression of the spinal canal is presently accepted worldwide as the method of treatment for thoracolumbar burst fractures with neurological deficit in the belief that neurological recovery may be produced or enhanced. Our clinical and laboratory experience, however, indicates that the paralysis occurs at the moment of injury and is not related to the position of the fragments of t...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2008

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949900801600105