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Burst fracture

Ulrich J Spiegl, Brian M Devitt, Ihor Kasivskiy, Jan-Sven Jarvers, Christoph Josten, Christoph-Eckhard Heyde, Hannes M Fakler
INTRODUCTION: Surgical treatment of unstable burst fractures of the thoracolumbar spine in the elderly population is highly variable with combined posterior and anterior stabilization (CPAS) and posterior augmented stabilization with cementation of the vertebral body (hybrid) being two commonly used techniques. The aim of this study was to compare the clinical and radiographic outcomes of CPAS versus hybrid stabilization for the treatment of unstable burst fractures of the thoracolumbar spine in patients aged between 60 and 70 years...
July 14, 2018: Archives of Orthopaedic and Trauma Surgery
Hongwei Wang, Zhongjun Mo, Jianda Han, Jun Liu, Changqing Li, Yue Zhou, Liangbi Xiang, Lei Yang
Intermediate screw fixation at the fracture level has been widely accepted to treat thoracolumbar burst fractures, but no study has shown the effect of the extent and location of fixation. The effect of the extent and location of fixation on short- or long-segment pedicle screw fixation through intermediate screw fixation at the fracture level in the treatment of thoracolumbar burst fractures is discussed.Posterior intermediate screw fixation techniques in treating T12 vertebral fracture models were simulated and compared using finite element methods; the fixation techniques included M3-L1 (bilateral 3 monoaxial pedicle screw fixation from L1 to T11), M3-L2, M4-L1 (bilateral 4 monoaxial pedicle screw fixation from L1 to T10), M4-L2, M4-L3, and M5-L2 (bilateral 5 monoaxial pedicle screw fixation from L2 to T10)...
June 2018: Medicine (Baltimore)
Yao Li, Mingyu Huang, Jie Xiang, Yan Lin, Yaosen Wu, Xiangyang Wang
OBJECTIVE: To correlate interpedicular distance (IPD) with radiographic parameters, neurological deficit and posterior structures injury in patients with thoracolumbar burst fractures. METHODS: One hundred three thoracolumbar burst fracture patients were retrospectively reviewed. IPD was measured from the medial sclerotic areas of the pedicles on anteroposterior plain radiographs. Data concerning local kyphosis (LK), the ratio of anterior to posterior vertebral height (A/P ratio), loss of vertebral body height (LOVBH) and spinal canal stenosis (SCS), neurological status and posterior structures (lamina, posterior ligamentous complex and facet joint) injury were correlated to IPD using correlation analysis...
June 23, 2018: World Neurosurgery
Dong Kwang Seo, Chung Hwan Kim, Sang Ku Jung, Moon Kyu Kim, Soo Jung Choi, Jin Hoon Park
Objective: The aims in the management of thoracolumbar spinal fractures are not only to restore vertebral column stability, but also to obtain acceptable alignment of the thoracolumbar junction (T-L junction) to prevent complications. However, insufficient surgical correction of the thoracolumbar spine would be likely to cause late progression of abnormal kyphosis. Therefore, we identified the surgical factors that affected unfavorable radiologic outcomes of the thoracolumbar spine after surgery...
June 26, 2018: Journal of Korean Neurosurgical Society
Wenli Chang, Dianling Zhang, Wei Liu, Xiaodong Lian, Zhenqing Jiao, Wei Chen
BACKGROUND: This randomized controlled trial (RCT) aimed to compare the clinical outcomes of thoracolumbar burst fractures (TLBFs) treated with open reduction and internal fixation via the posterior paraspinal muscle approach (PPMA) and the post-middle approach (PA). METHODS: Patients with a traumatic single-level TLBFs (T10-L2), treated at our hospital between December 2009 and December 2014, were randomly allocated to Group A (PPMA) and Group B (PA). Sex, age, time from injury to surgery, the American Spinal Injury Association Impairment Scale score (ASIAIS), comorbidities, vertebral level, pre- and postoperative kyphotic angle (KA), visual analog scale (VAS) pain score, and the Oswestry Disability Index (ODI) scores were included in the analysis...
June 2018: Medicine (Baltimore)
Shaoyu Wu, Qiang Yu, Anli Lai, Jing Tian
Pulsed electromagnetic fields (PEMFs) are effective in healing fractures and improving osteoporosis. However, their effect on mesenchymal cells remains largely unknown. In this study, the effects of PEMF on osteoblastogenesis and its underlying molecular signaling mechanisms were systematically investigated in C3H10T1/2 cells. C3H10T1/2 mesenchymal cells were exposed to 30-Hz PEMF bursts at various intensities for 3 consecutive days. The optimal PEMF exposure (30 Hz, 1 mT, 2 h/day) was applied in subsequent experiments...
June 14, 2018: Biochemical and Biophysical Research Communications
Shee Yen Tay, Chia-Wei Li, Chih-Hsiang Ko, Wing P Chan
No abstract text is available yet for this article.
June 11, 2018: American Journal of Medicine
Cheng-Li Lin, Po-Hsin Chou, Jing-Jing Fang, Kuo-Yuan Huang, Ruey-Mo Lin
Objective We assessed our results of short-segment decompression and fixation for osteoporotic thoracolumbar fractures with neurological deficits. Methods We evaluated 20 elderly patients (age, 60-89 years; mean, 73.2 years) with osteoporotic thoracolumbar fractures and neurological deficits. They underwent short-segment decompression and fixation and followed up for 40.6 (range, 24-68) months. A visual analog scale (VAS) and the Oswestry Disability Index (ODI) were used to measure back pain and disability...
January 1, 2018: Journal of International Medical Research
A Kovtun, D A C Messerer, K Scharffetter-Kochanek, M Huber-Lang, A Ignatius
Following severe tissue injury, patients are exposed to various danger- and microbe-associated molecular patterns, which provoke a strong activation of the neutrophil defense system. Neutrophils trigger and modulate the initial posttraumatic inflammatory response and contribute critically to subsequent repair processes. However, severe trauma can affect central neutrophil functions, including circulation half-life, chemokinesis, phagocytosis, cytokine release, and respiratory burst. Alterations in neutrophil biology may contribute to trauma-associated complications, including immune suppression, sepsis, multiorgan dysfunction, and disturbed tissue regeneration...
2018: Journal of Immunology Research
Andrew Nataraj, Andrew S Jack, Ihsan Ihsanullah, Shawn Nomani, Frank Kortbeek, Richard Fox
STUDY DESIGN: This is a single-center, retrospective, observational cohort study. OBJECTIVE: To determine whether surgery or nonoperative treatment has better clinical outcomes in neurologically intact patients with an intermediate severity thoracolumbar burst fracture. SUMMARY OF BACKGROUND DATA: Optimal management, whether initial operative or nonoperative treatment, for thoracolumbar injury classification score (TLICS) 4 burst fractures remains controversial...
July 2018: Clinical Spine Surgery
Haigang Hu, Xu Lin, Lun Tan, Chao Wu, Zeli Zhong, Jun Zeng, Jiayan Deng
Objective: To analyze the imaging characteristics of vertebral "shell" phenomenon of thoracolumbar fractures after posterior reduction and to explore the relationship between vertebral "shell" and fracture healing. Methods: Between January 2013 and December 2015, the clinical data of 116 patients with thoracolumbar fractures treated with posterior pedicle screw-rod system reduction and internal fixation were analyzed retrospectively. There were 72 males and 44 females, aged 22-66 years (mean, 43 years)...
August 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Zhida Chen, Jin Wu, Bin Lin, Songsong Wu, Wenrong Zeng
Objective: To discuss the effectiveness of posterior short-segment fixation including the fractured vertebra for severe unstable thoracolumbar fractures using pedicle screw fixation. Methods: Between May 2008 and July 2013, 52 patients of severe unstable thoracolumbar fractures were treated through posterior short-segment fixation including the fractured vertebra using pedicle screw fixation. There were 33 males and 19 females with an age of 21-56 years (mean, 37...
January 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Huzhe Liu, Jieliang Shen, Hao Zhou, Shengxi Xu, Zhenming Hu
Objective: To investigate the regulatory effect of resveratrol (RES) on the extracellular matrix (ECM) expression of nucleus pulposus cells (NPC), and its relative molecular mechanism. Methods: Ten patients receiving discectomy were collected, of which 5 patients were young with spinal burst fracture, classified as control group; the rest 5 patients were senile with lumbar disc herniation, classified as degenerative group. The nucleus pulposus tissue of 2 groups were collected, the in situ expression of β-catenin was detected by immunohistochemistry, and the protein expressions of collagen type Ⅱ and Aggrecan were detected by Western blot...
April 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Bin Zhang, Hua Zou, Weijun Kong, Chong Wang, Fujun Wu, Sheng Ye, Xin Wang, Jun Ao
Objective: To investigate the effectiveness of posterior microscopic mini-open technique (MOT) decompression in patients with severe spinal canal stenosis resulting from thoracolumbar burst fractures. Methods: The clinical data of 28 patients with severe spinal canal stenosis caused by thoracolumbar burst fractures, who were treated by posterior microscopic MOT, which performed unilateral or bilateral laminectomy, poking reduction, intervertebral bone graft via spinal canal, and percutaneous pedicle screw fixation between January 2014 and January 2016 were retrospectively analyzed...
April 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Kerem Mazhar Ozsoy, Kadir Oktay, Yurdal Gezercan, Nuri Eralp Cetinalp, Ali Ihsan Okten, Tahsin Erman
AIM: The management of thoracolumbar burst fractures without neurological symptoms remains controversial. Certain authors have suggested that vertebroplasty and kyphoplasty are contraindicated in patients with burst fractures. However, we performed vertebroplasty to treat intractable pain, reduce surgical risk and achieve early mobilization. MATERIAL AND METHODS: Twelve patients older than 65 years of age with thoracolumbar fractures without neurological deficits underwent vertebroplasty...
May 4, 2018: Turkish Neurosurgery
Fei Yin, Zhenzhong Sun, Qudong Yin, Sheng Song, Sanjun Gu, Yongjun Rui
Objective: To investigate the effect of preventing the loss of correction and vertebral defects after thoracolumbar burst fractures treated with recombinant human bone morphogenetic protein 2 (rhBMP-2) and allogeneic bone grafting in injured vertebra uniting short-segment pedicle instrumentation. Methods: A prospective randomized controlled study was performed in 48 patients with thoracolumbar fracture who were assigned into 2 groups between June 2013 and June 2015...
August 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Wei Zou, Jie Xiao, Yang Zhang, Yuhui Du, Changjun Zhou
Objective: To assess the effectiveness of percutaneous pedicle screw fixation and minimally invasive decompression in the same incision for type A3 thoracolumbar burst fracture. Methods: Between May 2014 and February 2016, 43 cases of type A3 thoracolumbar burst fracture with or without nerve symptoms were treated with pedicle screw fixation and neural decompression. Of them, 21 patients underwent percutaneous pedicle screw fixation and minimally invasive decompression in the same incision (percutaneous group), and the other 22 patients underwent traditional open surgery (open group)...
July 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Tiberiu Maior, Gheorghe Ungureanu, Cristian Kakucs, Cristian Berce, Bobe Petrushev, Ioan-Stefan Florian
Study Design: Case series. Objective: Thoracolumbar burst fractures (TLBF) are the most frequent type of spinal fractures. Approximately half of the patients are neurologically intact and their treatment is still debatable. Gender could influence outcome after surgical procedures, but this is still unclear in patients sustaining a spinal fracture. The aim of this study was to investigate how gender influences health-related quality of life (HRQOL) and disability in patients operated on for TLBF...
May 2018: Global Spine Journal
Mohit Agrawal, Mayank Garg, Amandeep Kumar, Pankaj Kumar Singh, Guru Dutta Satyarthee, Deepak Agrawal, P Sarat Chandra, Shashank Sharad Kale
No abstract text is available yet for this article.
May 19, 2018: World Neurosurgery
Shahab Ahmed Salih Gezh, Abdurrahman Aycan, Halit Demir, Cemal Bozlına
BACKGROUND: This study aimed to determine trace element levels (Zn, Fe, Mn, Mg, Cu, Cd, Co, and Pb) in patients with burst fractures in Van Province, Turkey. METHODS: The study included a total of 44 participants with no additional pathologies, including 22 patients with burst fractures aged over 18 years who were admitted to the neurosurgery departments at two hospitals between June 15, 2015 and January 20, 2016 and 22 healthy volunteers. Serum samples were obtained from all participants to measure the serum levels of trace and heavy elements, including Mn, Cd, Cu, Pb, Fe, Co and Zn, using atomic absorbance spectrophotometry...
May 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
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