de la Torre GDM, Ortiz RF, González HFJ, Aguilar AMA

Language: Spanish
References: 15
Page: 24-28
PDF size: 146.52 Kb.

ABSTRACT

Introduction. The traumatic lesions of the spine are complex and day with day they evolve in presentation, that is to say, we find complex lesions that not involve alone to the spine, also to neighboring organs that invariably limit the treatment conditioning that the patients with severe traumatisms that produce vertebral fractures are with permanent sequels related to the function for medullar lesion, this unfortunately changes of for life to people that suffer them making of this entity an urgency and a challenge more for the surgeon spine. Objective. To show the experience obtained during 9 years in the service of spine surgeon of the Hospital Juárez de Mexico in the handling of the thoracolumbar fractures. Material and methods. He is carried out a prospective, longitudinal and observational study of patient with vertebral fractures in the Hospital Juárez de Mexico in 9 years of work, they are given pursuit to 113 patients 75 men and 38 women with I diagnose of vertebral fracture with or without neurological lesion using handling conservative with use of corsets and surgical treatment for later boarding with traspediculares screws (VSF), and boarding previous with alone use of lateral (BIOS) badge and in combination with you implant inthersomatic supplementing their valuation in one year. Results. 13 patients were been in a conservative way 3 of them due to the secondary complications to the traumatism that they limited the opportune treatment of the vertebral fracture being with neurological sequels, for the 10 remaining you determines handling of agreement surgical approaches, 100 patients were been in way surgical 47 patients with previous badge in thoracolumbar fractures including in 29 patient inthersomatic spacers like titanium cages with implant autólogo and in 18 patients with dynamic distracters, 53 patient jurisdictions tried with systems of fixation transpedicular. Conclusions. We have the experience of treating thoracic and lumbar fractures, we know and we manage the you implant required for these lesions, for the type of patients that we try they have been designed you implant for their treatment, we have observed the initial and long term evolution of our sick persons, the results are satisfactory.

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