Thoracolumbar burst fractures without neurological deficit: the role for conservative treatment

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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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Thoracolumbar fractures without neurological impairment

The incidence of thoracolumbar spinal injuries in the United States has been increasing in recent years, especially as a result of motor vehicle crashes.1 The same trend has been observed with increasing incidence between 2001 and 2007 in China. Motor vehicle accidents are the leading cause of spinal trauma followed by falls from a height. In a large Chinese series by Liu et al2 which included ...

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Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit

Methods: From 1992 to 1998, forty-seven consecutive patients with a stable thoracolumbar burst fracture and no neurological deficit were evaluated and randomized to one of two treatment groups: operative treatment (posterior or anterior arthrodesis) or nonoperative treatment (a body cast or orthosis). We previously reported the results of follow-up at an average of forty-four months. The curren...

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Single screw-rod anterior instrumentation for thoracolumbar burst fractures with incomplete neurological deficit.

PURPOSE To evaluate the outcome of single screwrod anterior instrumentation for thoracolumbar burst fractures with incomplete neurological deficit. METHODS 16 men and 5 women aged 22 to 55 (mean, 34) years underwent single screw-rod anterior instrumentation for thoracolumbar burst fractures with incomplete neurological deficit. The vertebrae involved were T10 (n=2), T11 (n=2), T12 (n=7), L1 (...

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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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ژورنال

عنوان ژورنال: European Spine Journal

سال: 2009

ISSN: 0940-6719,1432-0932

DOI: 10.1007/s00586-009-1122-6