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Management of unstable Dorsolumbar spine injuries with transpedicular rod and screw fixation
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kansal, Dr. Nitin |
| Copyright Year | 2013 |
| Abstract | BACKGROUND: DORSOLUMBAR TRAUMA IS THE MOST COMMON CAUSE OF PARAPARESIS OR PARAPLEGIA. OPTIMAL GOALS OF THE MANAGEMENT INCLUDE ESTABLISHMENT OF A PAINLESS, BALANCED AND STABLE SPINAL COLUMN WITH VERTEBRAL FUSION. MATERIAL & METHOD: WE REVIEWED VARIOUS TYPES OF FRACTURES OF DORSOLUMBAR SPINE, THEIR MANAGEMENT AND OUTCOME IN A PROSPECTIVE STUDY OF 32 CASES OF DORSOLUMBAR TRAUMA MANAGED SURGICALLY AT OUR CENTRE (JUNE 2008 – OCTOBER 2010). ALL PATIENTS UNDERWENT COMPLETE NEUROLOGICAL EXAMINATION, CT AND MR IMAGING OF THE SPINE. STUDY DESIGN & SETTINGS: PROSPECTIVE OBSERVATIONAL STUDY IN A TERTIARY CARE CENTRE FROM 2008-2010. RESULTS: MOST COMMON MODE OF INJURY WAS FALL FROM HEIGHT (66%). MAJORITY OF THE PATIENTS BELONGED TO FRANKEL GRADE A (66%). ALL PATIENTS WERE OPERATED USING POSTERIOR APPROACH. THERE WAS NO DETERIORATION IN NEUROLOGICAL STATUS IN ANY OF THE PATIENTS WHILE EIGHT PATIENTS HAD IMPROVEMENT. AVERAGE LOCAL KYPHOTIC ANGLE PREOPERATIVELY WAS 23 DEGREE .AVERAGE LOCAL KYPHOSIS ANGLE POSTOPERATIVELY WAS 5.8 DEGREE. AVERAGE LOCAL KYPHOSIS ANGLE AT FINAL FOLLOW UP WAS 8 DEGREE RANGE FROM 0-13 DEGREE WITH LOSS OF KYPHOSIS ANGLE WAS 2.2 DEGREE STATISTICS: OBSERVATIONAL DESCRIPTIVE STATISTICS AND CHI SQUARE TEST. CONCLUSION: WE CONCLUDE THAT FALL FROM HEIGHT IS THE MOST COMMON CAUSE OF DORSOLUMBAR FRACTURE WITH MAJORITY AFFECTED BELONGING TO YOUNG POPULATION AND HAD SIGNIFICANT DEFICITS, THUS CAUSING SIGNIFICANT BURDEN ON THE SOCIETY. PROMPT SURGICAL MANAGEMENT IS SAFE AND HELPS IN EARLY MOBILIZATION AND REHABILITATION, THUS FACILITATING POSSIBLE NEUROLOGICAL RECOVERY AND ACHIEVING AN IMPROVED QUALITY OF LIFE. |
| Starting Page | 77 |
| Ending Page | 81 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| DOI | 10.9790/0853-0437781 |
| Volume Number | 4 |
| Alternate Webpage(s) | http://www.iosrjournals.org/iosr-jdms/papers/Vol4-issue3/O0437781.pdf |
| Alternate Webpage(s) | https://doi.org/10.9790/0853-0437781 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
