open access

Vol 49, No 6 (2015)
Original research articles
Submitted: 2015-02-19
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Thoracolumbar burst fractures requiring instrumented fusion: Should reducted bone fragments be removed? A retrospective study

Can Yaldiz, Kıyasettin Asil, Birol Özkal, Davut Ceylan, Tibet Kacira
DOI: 10.1016/j.pjnns.2015.08.005
·
Neurol Neurochir Pol 2015;49(6):358-366.

open access

Vol 49, No 6 (2015)
Original research articles
Submitted: 2015-02-19

Abstract

Background

Thoracolumbar burst fractures are common clinical entity encountered in neurosurgical practice, accounting for 10–20% of all spinal fractures. Clinical picture could be devastating due to severe neurological deficits which lead the patients dependent both socially and emotionally.

Materials and methods

This study compared two groups of patients who were operated because of thoracolumbar burst fracture secondary to spinal trauma in terms of neurologic deficits, degree of improvement, and radiologic measurements at one-year follow-up. The first group (group I) included the patients who underwent posterior total laminectomy, peroperative reduction of intracanal bone fragments, and posterior spinal instrumentation and the second group (group II) included the patients who underwent total laminectomy, and spinal instrumentation without reduction of free bone fragments.

Results

Neither group showed significant correlation with any measurement parameter. Radiological assessments and clinical improvements did not disclosed significant difference between the two groups at one-year follow-up.

Conclusion

Retropulsion of free bone fragments extend the time of surgery and causes complications. This study found that there is no need to retropulse the bone fragments in the spinal canal in patients with unstable burst fractures who underwent total laminectomy and posterior long segment stabilization.

Abstract

Background

Thoracolumbar burst fractures are common clinical entity encountered in neurosurgical practice, accounting for 10–20% of all spinal fractures. Clinical picture could be devastating due to severe neurological deficits which lead the patients dependent both socially and emotionally.

Materials and methods

This study compared two groups of patients who were operated because of thoracolumbar burst fracture secondary to spinal trauma in terms of neurologic deficits, degree of improvement, and radiologic measurements at one-year follow-up. The first group (group I) included the patients who underwent posterior total laminectomy, peroperative reduction of intracanal bone fragments, and posterior spinal instrumentation and the second group (group II) included the patients who underwent total laminectomy, and spinal instrumentation without reduction of free bone fragments.

Results

Neither group showed significant correlation with any measurement parameter. Radiological assessments and clinical improvements did not disclosed significant difference between the two groups at one-year follow-up.

Conclusion

Retropulsion of free bone fragments extend the time of surgery and causes complications. This study found that there is no need to retropulse the bone fragments in the spinal canal in patients with unstable burst fractures who underwent total laminectomy and posterior long segment stabilization.

Get Citation

Keywords

Bone fragment, Posterior spinal instrumentation, Thoracolumbar burst fracture

About this article
Title

Thoracolumbar burst fractures requiring instrumented fusion: Should reducted bone fragments be removed? A retrospective study

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 6 (2015)

Pages

358-366

DOI

10.1016/j.pjnns.2015.08.005

Bibliographic record

Neurol Neurochir Pol 2015;49(6):358-366.

Keywords

Bone fragment
Posterior spinal instrumentation
Thoracolumbar burst fracture

Authors

Can Yaldiz
Kıyasettin Asil
Birol Özkal
Davut Ceylan
Tibet Kacira

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