Tabares NH, Díaz QJ, Roig FE, Tabares SH, Tabares SL

Language: Spanish
References: 32
Page: 160-171
PDF size: 255.20 Kb.

ABSTRACT

Introduction: vertebral fractures are serious health problem; the thoracolumbar zone is the most frequent location. Surgical treatment in explant fractures seems to be the one with the best results but presents the dilemma of whether all patients should be fusion.
Objective: show the results obtained at two years with the surgical treatment of thoracolumbar spine fractures in Orthopedics and Neurosurgery services at "Calixto García" Hospital from January 2011 to July 2013.
Method: prospective descriptive study was carried out in patients with diagnosis of surgically treated thoracolumbar fractures, associated to fixation, fusion. The variables studied were age, sex, causal mechanism, location, type of fracture, kyphotic deformity and vertebral body height. The Oswestry Index and Visual Analog Pain Scale, measured before and two years after the intervention, were the evaluation instruments used.
Results: twenty-eight patients formed this series, the male sex predominated, and automobile accident was a causal mechanism. The most frequent location was segment T 11- L 2 for fractures type A 3 and A 4 according to AO. The variations of kyphotic deformity and height of the vertebral body were very similar after two years in patients with and without fusion. Oswestry Index and Visual Analog Pain Scale showed significant improvement.
Conclusions: radiographic and functional results were similar in patients with and without fusion. Post fusion does not need to be a routine procedure in thoracolumbar collapse fractures.

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