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vertebral burst fracture

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https://www.readbyqxmd.com/read/29772857/-posterior-spinal-canal-decompression-with-screw-fixation-and-reconstruction-of-three-vertebral-column-for-thoracolumbar-burst-fractures-complicated-with-nerve-injury
#1
Li-Yong Wu, Xue-Mei Huang, Yue Wang, Zhao-Bo Yang, Sheng-Hui Su, Chun Wang
OBJECTIVE: To explore the feasibility and clinical effect of posterior spinal canal decompression with pedicle screw fixation and reconstruction of anterior and middle vertebral column for thoracolumbar burst fractures complicated with nerve injury. METHODS: A total of 36 patients with thoracolumbar burst fractures treated from March 2011 to April 2016 were enrolled in the retrospective study. There were 20 males and 16 females, aged from 21 to 52 years old with an average of 37...
April 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29685417/short-segment-percutaneous-pedicle-screw-fixation-after-direct-spinal-canal-decompression-in-thoracolumbar-burst-fractures-an-alternative-option
#2
REVIEW
Seon-Ho Park, Sang-Deok Kim, Bong Ju Moon, Shin-Seok Lee, Jung-Kil Lee
OBJECTIVE: To investigate the surgical results of percutaneous pedicle screw fixation (PPSF) after spinal canal decompression via a small laminectomy for the treatment of thoracolumbar burst fractures. METHOD: Twenty-seven patients underwent PPSF after spinal canal decompression via small laminectomies between April 2009 and April 2015. Inclusion criteria consisted of a single-level, closed, thoracolumbar burst fracture and neurological symptoms. Decompression was performed via a small laminectomy, followed by PPSF, including at the level of the fractured vertebra...
April 20, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29678706/mid-term-clinical-and-radiological-outcomes-after-kyphoplasty-in-the-treatment-of-thoracolumbar-traumatic-vertebral-compression-fractures
#3
Michael Grelat, Rachid Madkouri, Pierre-Olivier Comby, Elie Fahed, Brivael Lemogne, Pierre Thouant
OBJECTIVE: The management of thoracolumbar post-traumatic compression fractures widely varies among centers, and there is no real consensus. The objective of our retrospective study was to detect the progression of vertebral kyphosis in non-osteoporotic patients treated by balloon kyphoplasty (KPB) who presented recent compression fractures of the thoracolumbar region. MATERIALS AND METHODS: From 2007 to 2011, we focused in this retrospective study on the vertebral and regional kyphosis evolution in 77 patients treated by KPB for compression vertebral fractures (Magerl A)...
April 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29649091/the-prognostic-significance-of-pedicle-enhancement-from-contrast-enhanced-mri-for-the-further-collapse-in-osteoporotic-vertebral-compression-fractures
#4
Sung Eun Hyun, Jin Young Ko, Eugene Lee, Ju Seok Ryu
STUDY DESIGN: Retrospective observational study. OBJECTIVE: The aim of this study was to investigate the prognostic significance of contrast-enhanced MRI for detecting pedicle enhancement and predicting future collapse in patients with acute benign osteoporotic vertebral compression fracture (OVCF). SUMMARY OF BACKGROUND DATA: Traditional morphological classification regarding compression versus burst fractures cannot accurately anticipate the prognosis of further collapse...
April 11, 2018: Spine
https://www.readbyqxmd.com/read/29623406/monosegmental-anterior-column-reconstruction-using-an-expandable-vertebral-body-replacement-device-in-combined-posterior-anterior-stabilization-of-thoracolumbar-burst-fractures
#5
Richard A Lindtner, Max Mueller, Rene Schmid, Anna Spicher, Michael Zegg, Christian Kammerlander, Dietmar Krappinger
INTRODUCTION: In combined posterior-anterior stabilization of thoracolumbar burst fractures, the expandable vertebral body replacement device (VBRD) is typically placed bisegmentally for anterior column reconstruction (ACR). The aim of this study, however, was to assess feasibility, outcome and potential pitfalls of monosegmental ACR using a VBRD. In addition, clinical and radiological outcome of monosegmental ACR was related to that of bisegmental ACR using the same thoracoscopic technique...
April 6, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29616497/malformed-vertebrae-a-clinical-and-imaging-review
#6
REVIEW
Apeksha Chaturvedi, Nina B Klionsky, Umakanthan Nadarajah, Abhishek Chaturvedi, Steven P Meyers
A variety of structural developmental anomalies affect the vertebral column. Malformed vertebrae can arise secondary to errors of vertebral formation, fusion and/or segmentation and developmental variation. Malformations can be simple with little or no clinical consequence, or complex with serious structural and neurologic implications. These anomalies can occasionally mimic acute trauma (bipartite atlas versus Jefferson fracture, butterfly vertebra versus burst fracture), or predispose the affected individual to myelopathy...
April 3, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29578877/thoracolumbar-burst-fractures
#7
Brett D Rosenthal, Barrett S Boody, Tyler J Jenkins, Wellington K Hsu, Alpesh A Patel, Jason W Savage
Thoracolumbar burst fractures are high-energy vertebral injuries, which commonly can be treated nonoperatively. Consideration of the injury pattern, extent of comminution, neurological status, and integrity of the posterior ligamentous complex may help determine whether operative management is appropriate. Several classification systems are contingent upon these factors to assist with clinical decision-making. A multitude of operative procedures have been shown to have good radiographic and clinical outcomes with extended follow-up, and treatment choice should be based on the individual's clinical and radiographic presentation...
May 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29517657/minimal-invasive-nonfusion-technique-for-the-treatment-of-noncontiguous-lumbar-burst-fractures-in-young-age-patient-a-case-report
#8
Jae-Kwang Kim, Bong Ju Moon, Sang-Deok Kim, Jung-Kil Lee
RATIONALE: In the treatment of noncontiguous lumbar burst fractures, there still remains controversy over proper surgical procedures. PATIENT CONCERNS: A 19-year-old female patient visited our hospital after fall down from 3 m high. DIAGNOSES: Initial neurologic examination revealed an incomplete spinal cord injury characterized by hypoesthesia and motor grade of 2 below the L2 segment. Lumbar computed tomography and magnetic resonance imaging demonstrated L2 and L5 burst fractures severely obliterating the spinal canal...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29430607/the-fates-of-pedicle-screws-and-functional-outcomes-in-a-geriatric-population-following-polymethylmethacrylate-augmentation-fixation-for-the-osteoporotic-thoracolumbar-and-lumbar-burst-fractures-with-mean-ninety-five-month-follow-up
#9
Hsi-Hsien Lin, Ming-Chau Chang, Shih-Tien Wang, Chien-Lin Liu, Po-Hsin Chou
PURPOSE: Polymethylmethacrylate (PMMA) augmentation is a common method to increase pullout strength fixed for osteoporotic spines. However, few papers evaluated whether these pedicle screws migrated with time and functional outcome in these geriatrics following PMMA-augmented pedicle screw fixation. METHODS: From March 2006 to September 2008, consecutive 64 patients were retrospectively enrolled. VAS and ODI were used to evaluate functional outcomes. Kyphotic angle at instrumented levels and horizontal and vertical distances (HD and VD) between screw tip and anterior and upper cortexes were evaluated...
February 11, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29419715/spine-trauma-from-personal-watercraft-usage
#10
Chester J Donnally, Gil Metser, Eric S Roth, Justin P Moo Young, Augustus J Rush, Motasem A Al Maaieh
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: To identify patient characteristics and associated injuries in those sustaining a spine fracture from personal watercraft (PWC) usage. SUMMARY OF BACKGROUND DATA: There are few studies regarding PWC use and injuries, and even more scarce are studies evaluating PWC usage and spine injuries. Identifying high risk actions and individuals can help to effectively treat them, reduce mortality, and possibly avoid certain spine fractures...
February 6, 2018: Spine
https://www.readbyqxmd.com/read/29417778/-unilateral-wiltse-intermuscular-approach-and-contralateral-decompression-for-the-treatment-of-thoracolumbar-burst-fracture
#11
Chi Li, Jing Wang, Hong-Lin Teng, Ming-Yu Zhu, Yang Zhou
OBJECTIVE: To compare the clinical effects and multifidus muscle injury of different approaches, including unilateral Wiltse intermuscular approach and intramuscular approach combined with contralateral decompression, in treating thoracolumbar burst fracture. METHODS: Forty-three patients with thoracolumbar burst fracture were enrolled in the study from January 2010 to December 2014, including 29 males and 14 females with an average age of 42.3 years old(ranged from 21 to 64 years old)...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29402261/biomechanical-effects-of-metastasis-in-the-osteoporotic-lumbar-spine-a-finite-element-analysis
#12
Giuseppe Salvatore, Alessandra Berton, Hugo Giambini, Mauro Ciuffreda, Pino Florio, Umile Giuseppe Longo, Vincenzo Denaro, Andrew Thoreson, Kai-Nan An
BACKGROUND: Cancer patients are likely to undergo osteoporosis as consequence of hormone manipulation and/or chemotherapy. Little is known about possible increased risk of fracture in this population. The aim of this study was to describe the biomechanical effect of a metastatic lesion in an osteoporotic lumbar spine model. METHODS: A finite element model of two spinal motion segments (L3-L5) was extracted from a previously developed L3-Sacrum model and used to analyze the effect of metastasis size and bone mineral density (BMD) on Vertebral bulge (VB) and Vertebral height (VH)...
February 5, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29392289/finite-element-study-to-evaluate-the-biomechanical-performance-of-the-spine-after-augmenting-percutaneous-pedicle-screw-fixation-with-kyphoplasty-in-the-treatment-of-burst-fractures
#13
Shady S Elmasry, Shihab S Asfour, Francesco Travascio
Percutaneous pedicle screw fixation (PPSF) is a well-known minimally invasive surgery (MIS) employed in the treatment of thoracolumbar burst fractures (TBF). However, hardware failure and loss of angular correction are common limitations caused by the poor support of the anterior column of the spine. Balloon kyphoplasty (KP) is another MIS that was successfully used in the treatment of compression fractures by augmenting the injured vertebral body with cement. To overcome the limitations of stand-alone PPSF, it was suggested to augment PPSF with KP as a surgical treatment of TBF...
June 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29290375/prediction-of-mri-findings-including-disc-injury-and-posterior-ligamentous-complex-injury-in-neurologically-intact-thoracolumbar-burst-fractures-by-the-parameters-of-vertebral-body-damage-on-ct-scan
#14
Jie Mi, Xiao-Jiang Sun, Kai Zhang, Chang-Qing Zhao, Jie Zhao
OBJECTIVE: To formulate radiological indexes based on CT for further MRI examination to detect posterior ligamentous complex injury (PLC) or disc injury in thoracolumbar burst fractures without neurological deficit in the emergent setting. MATERIALS AND METHODS: Patients with a single thoracolumbar burst fracture and no neurological deficit were included into this study. Radiological indexes on CT included canal compromise (CC), anterior and posterior vertebral height ratio (PVH and AVH ratio), local kyphosis (LK) and regional kyphosis (RK)...
February 2018: Injury
https://www.readbyqxmd.com/read/29279755/delayed-neurological-deficits-after-osteoporotic-vertebral-fractures-clinical-outcomes-after-surgery
#15
Yip-Kan Yeung, Sheung-Tung Ho
Study Design: Retrospective cohort. Purpose: To review the clinical presentation of operated patients with delayed neurological deficits after osteoporotic vertebral fractures (OVFs). Overview of Literature: Delayed neurological deficits can occur from 1 week to 5.7 months after OVFs. Baba has reported 78% good-to-excellent improvement (i.e., ≥50%) after 20 posterior (Cotrel-Dubousset) and 7 anterior (Kaneda in 4, Zielke ventral derotational spondylodesis in 2, and un-instrumented anterior fusion in 1) fusions...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29208863/short-segment-versus-long-segment-stabilization-for-unstable-thoracolumbar-junction-burst-fractures
#16
M K Ahsan, A A Mamun, Z Zahangiri, M A Awwal, S I Khan, N Zaman, M H Haque
The treatment of unstable thoracolumbar junction burst fractures remains a controversial issue. We evaluate the efficacy of short segment (SS) compared with that of long-segment (LS) stabilization in terms of clinical and the radiological outcomes. Records of 88 patients with thoracolumbar burst fracture underwent posterior pedicle screw fixation from January 2004 to December 2015, studied retrospectively. These patients were divided into two groups: SS and the LS-group. Clinical parameters: back pain, disability, neurological deficit and radiologic parameters: Cobb angle, sagittal index, the kyphotic deformation of vertebral body, vertebral height and canal compromise were measured before surgery and immediately after surgery and at 3, 6 and 12 months postoperatively...
October 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29201299/the-relationship-between-superior-disc-endplate-complex-injury-and-correction-loss-in-young-adult-patients-with-thoracolumbar-stable-burst-fracture
#17
Kyu Yeol Lee, Min-Woo Kim, Sang Yun Seok, Dong Ryul Kim, Chul Soon Im
Background: To determine the relationship between superior disc-endplate complex injury and correction loss after surgery in a group of young adult patients with a stable thoracolumbar burst fracture. Methods: The study group was comprised of young adult patients who had undergone short-segment posterior fixation and bone grafting under the diagnosis of a stable thoracolumbar burst fracture from March 2008 to February 2014. Follow-up was available for more than 1 year...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29151568/a-comparison-of-the-mini-open-wiltse-approach-with-pedicle-screw-fixation-and-the-percutaneous-pedicle-screw-fixation-for-neurologically-intact-thoracolumbar-fractures
#18
Yong Fan, JiaNan Zhang, Xin He, YunFei Huang, QiNing Wu, DingJun Hao
BACKGROUND The thoracolumbar AO type A3 fracture is an incomplete burst fracture, which affects one vertebral body endplate. The objective of this study was to determine which of two minimal invasive techniques was more suitable for A3 fractures based on clinical and radiographic results. MATERIAL AND METHODS We studied 112 patients with A3 subtype fractures without neurological deficits. A total of 63 patients received percutaneous pedicle screw fixation (PPSF), and 49 patients were treated using mini-open Wiltse approach with pedicle screw fixation (MWPSF)...
November 20, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29150315/surgical-options-for-osteoporotic-vertebral-compression-fractures-complicated-with-spinal-deformity-and-neurologic-deficit
#19
Kalliopi Alpantaki, Michael Dohm, Panagiotis Korovessis, Alexander G Hadjipavlou
INTRODUCTION: This paper describes surgical options for Osteoporotic vertebral compression fracture (OVCF) with acute flexible or chronic rigid kyphosis, and pseudarthrosis complicated with pain and neurologic deficit. METHODS: This study has two components. a) A prospective clinical study of surgical treatment of 31 patients (age: 69±11 years) with either acute flexible or progressive pseudarthrotic kyphosis manifested with severe pain or neurological deficit between 2010 and 2014...
February 2018: Injury
https://www.readbyqxmd.com/read/29074467/vertebral-body-spread-in-thoracolumbar-burst-fractures-can-predict-posterior-construct-failure
#20
Federico De Iure, Giorgio Lofrese, Pasquale De Bonis, Francesco Cultrera, Michele Cappuccio, Sofia Battisti
BACKGROUND CONTEXT: The load sharing classification (LSC) laid foundations for a scoring system able to indicate which thoracolumbar fractures, after short-segment posterior-only fixations, would need longer instrumentations or additional anterior supports. PURPOSE: We analyzed surgically treated thoracolumbar fractures, quantifying the vertebral body's fragment displacement with the aim of identifying a new parameter that could predict the posterior-only construct failure...
October 23, 2017: Spine Journal: Official Journal of the North American Spine Society
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