Research Article
Volume 12 Issue 6 - 2021
10 Year Follow-Up of Thoracolumbar Junction Fractures - Functional and Radiographic Analysis of Two Posterior Short-Segment Surgical Techniques
Gustavo Carriço*, Davi de Souza Moreira, Fernando Lima, Rangel Segatti and Cesar Alberto Penz
Orthopedic Spine Surgeon at Hospital Regional de São José - HRSJ, São José, SC, Brazil
*Corresponding Author: Gustavo Carriço, Orthopedic Spine Surgeon at Hospital Regional de São José - HRSJ, São José, SC, Brazil.
Received: April 20, 2021; Published: May 28, 2021




Abstract

Background: There are several different surgical options considering treatment of fractures of the thoracolumbar junction. This study aims to present and offer the results of two diferent surgical techniques to treat spine fractures between T10 and L2.

Methods: 48 patients who undergone posterior spine fixation for thoracolumbar fracture were selected. They were divided into two groups: group A, which comprised 26 patients, had instrumentation and technique involving the vertebra below the fracture and two vertebrae immediately above the lesion, without fixing the fractured vertebra ("two above, one below group"). In the group B, which had 22 patients, the instrumentation occurred in the affected vertebra or fractured vertebra, and also only one level above and below the lesion.

Results: Clinical status analysis and radiographic comparison were performed between the preoperative and a minimum of 10 year postoperative follow-up.

Conclusion: The present article showed that both techniques are effective for the correction of post-traumatic kyphotic deformities, although the technique with two screws above and one below has been proved to be the best one.

Level of Evidence IV: Case series.

 

Keywords: Thoracolumbar Junction; Short-Segment Instrumentation; Spinal Fractures

References

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Citation: Gustavo Carriço., et al. “10 Year Follow-Up of Thoracolumbar Junction Fractures - Functional and Radiographic Analysis of Two Posterior Short-Segment Surgical Techniques”. EC Orthopaedics 12.6 (2021): 39-45.

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