Logo-mj
Med J Tabriz Uni Med Sciences Health Services. 2007;29(4): 37-41.
  Abstract View: 258
  PDF Download: 68

Nervous System

Research

Evaluation of Neurological Recovery and Complications after Surgical Treatment of Thoracolumbar Fractures Using Transpedicular Screw Rod System

SHAKERI M*, ASGHARI M, LOTFINIA I, HASSANI H
*Corresponding Author: Email: moslemshakeri@yahoo.com

Abstract

Background and Objective: The outcomes of patients with traumatic thoracolumbar spine fractures have evolved dramatically over the past 20 years due to development of surgical instruments and techniques. The goal of treatment is attainment of spinal stability with protection or improvement of the patient's neurologic status, allowing rapid and maximal functional recovery. Transpedicular screw-rod method is one of the recent surgical methods. This study aimed at evaluating the results of this approach in patients with thoracolumbar spine fractures. Materials and Methods: In a descriptive –prospective study, 52 patients with traumatic fracture of thoracolumbar spine hospitalized in Tabriz Imam Khomeini and Shohada hospitals were evaluated during a 22 months period. All patients were operated with transpedicular screw-rod system and were followed up for 6-18months. The post-operative improvement of neurological deficit, anatomical alignment, the rate of fusion and surgical complications were determined. Results: Fifty two patients (40 males, 12 females) with the mean age of 39.20 years were enrolled in the study. Neurological deficits were seen in 59.6% of the patients on admission. The improvement of neurological deficits, anatomical alignment and fusion occurred in 51.6%, 80.77%and 92.3% of the patients after operation, respectively. Kyphosis was seen in 15.4%of the patients during the follow-up period. The complications of the surgery were wound infection (5.8%), thromboembolic events (1.9%) and pneumonia (1.9%). The overall rates of complications were 9.6%. Considering the technical failure, broken screw was seen in 1.9%. Conclusions: The transpedicular screw-rod procedure has not been introduced in our centers for a long period. So the results are promising and acceptable and the procedure is proposed as the preferred method in this kind of patients. The forthcoming studies are recommended for finding and elimination of the probable causes result in the kyphosis.
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 259

Your browser does not support the canvas element.


PDF Download: 68

Your browser does not support the canvas element.

Submitted: 25 Feb 2010
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)