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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2003, Number 2

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Acta Ortop Mex 2003; 17 (2)

Literature review on thoracic-lumbar fractures that required surgical treatment through anterior via

Reyes SAA, Murga RR, Rosales OLM, Miramontes MV, Alpizar AA

Language: Spanish
References: 44
Page: 105-109
PDF size: 49.44 Kb.


ABSTRACT

Under the hypothesis that there is no published study reporting a proper method for the result assessment of thoracic-lumbar fractures treated through anterior via, it was analyzed the publications found from the last twenty years. The objective was to propose a result evaluation method when treating these fractures through anterior via. Material and methods: Retrospective, observational and descriptive study on a patient series diagnosed as presenting thoracic-lumbar fractures that required surgical treatment through anterior via. Thirty-four articles from the last twenty years were reviewed. Every article was reviewed along with the patient descriptive data, technique and each article variables. Results: From the 34 reviewed articles, 29 reported sex and 32 patient’s age. Twenty-nine articles indicated the fracture classification. In regard to fracture classification, 3 articles do not specify and 8 another ones do not describe them completely. Preoperative neurological condition was reported in 32 studies. Following time was reported in 27 articles. Complications are informed in 27 articles. The period going from the traumatism to the surgical treatment is mentioned in 15 articles. Discussion: The results of the present study demonstrate that neither the same variables nor the same measurement methods are included in the reviewed literature. Since there is no standardization in variable inclusion and the reported measurement methods when treating thoracic-lumbar fractures, it is not possible to verify them and that makes their application very difficult. Conclusion: Required variables to report articles studying thoracic-lumbar fractures treated through anterior via are proposed in order to have a complete, trustful and homogeneous analysis.


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