Author(s):
1. Mehmet Secer:
Department of Neurosurgery, Alaaddin Keykubat University School of Medicine, Antalya, Turkey
2. Hande Gurbuz:
Department of Anaesthesiology and Reanimation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey; Department of Anatomy, Kocaeli University School of Medicine, Kocaeli, Turkey
3. Anil Gulcu:
Department of Orthopaedics and Traumatology, Alaaddin Keykubat University School of Medicine, Antalya, Turkey
Abstract:
The aim of this study was to investigate the e ect of ligamentotaxis performed in combination with the posterior surgical approach in thoracic and lumbar burst fractures due to high-energy trauma with high McCormack scores (e7). This observational study was conducted at the University of Health Sciences from January 2015 to December 2020.Medical records of 16 patients were retrospectively evaluated. The vertebral height measurements, local kyphosis angles, and anteroposterior spinal canal diameter were measured pre- and postoperatively. American Spinal Injury Association (ASIA), McCormack, and thoracolumbar injury classi cation and severity (TLICS) scores were also evaluated. All postoperative measurements showed a signi cant change. There was no statistical signi cance in the pre- and postoperative ASIA grades. No screw breakages were observed within a mean follow-up period of 35.50±11.79 months. Ligamentotaxis e ectively increased the spinal canal diameter and provided vertebral height restoration and kyphosis angle correction in thoracolumbar burst fractures with a high McCormack score. However, no signi cant neurological improvement was observed in cases with neurological de cits, although laminectomy was performed with ligamentotaxis.
Page(s):
355-357
Published:
Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 33, Issue: 3, Year: 2023
Keywords:
Trauma
,
ligamentotaxis
,
Thoracic vertebrae
,
Thoracolumbar burst fractures
,
lumbar vertebrae
,
Spine
References:
References are not available for this document.
Citations
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