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117020

Clinical and Radiological Assessment of Interbody Fusion and Short-Segment Fixation in Dorso-Lumbar Fractures

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Last updated: 30 Jan 2023

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Abstract

Background: Spine fractures account for a large portion of musculoskeletal injuries worldwide. Approximately 75% to 90% of spinal fractures occur in the thoracic and lumbar spine, with most of these occurring at the thoracolumbar junction (T10-L2). Surgical treatment has demonstrated better clinical and radiological results than conservative treatment. Objective: To evaluate the outcome of short-segment fixation with interbody fusion in dorsolumbar fractures clinically and radiologically.
Patients and Methods: This study took place at the Neurotrauma Unit of Neurosurgery Department, Zagazig University Hospitals. It included sixteen patients with thoracolumbar fractures treated by short-segment open transpedicular posterior fixation with interbody fusion.
Results: Male was the predominant sex (68.7%), mean age was 37.88 years (range: 19-55 years) and the residence in rural areas was 50 % and in urban areas was 50 %. Housewives were the predominant occupation and constitute 31.3%. 81.3% of patients were married. The most prevalent AO spine type of fracture was A3 fracture where it constituted 62.5% of patients, the level of fracture was L2 in 50 % of patients & about 38% had severe pain as reported on VAS score. In our Study there was significant change in ASIA score 12 weeks postoperatively. While 62.5% had E score preoperatively, 87.5% had it 12 weeks postoperatively and 12.5% turned had score C 12 weeks preoperatively versus no one postoperatively had C ASIA score.
Conclusion: Surgical treatment of thoracic and lumbar fractures allows for immediate stabilization of the spine, restoration of sagittal alignment, and the possibility of spinal canal decompression.

DOI

10.21608/ejhm.2020.117020

Keywords

Dorso, Lumbar Fractures, interbody fusion, Short Segment Fixation

Authors

First Name

Magdy El-Sayed Hassan

Last Name

Rashed

MiddleName

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Affiliation

Department of Neurosurgery, Faculty of Medicine – Zagazig University

Email

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City

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Orcid

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First Name

Waleed Mohamed El-Hady

Last Name

Essa

MiddleName

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Affiliation

Department of Neurosurgery, Faculty of Medicine – Zagazig University

Email

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City

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Orcid

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First Name

Ashraf Mohamed Mohamed

Last Name

El-Galladm

MiddleName

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Affiliation

Department of Neurosurgery, Faculty of Medicine – Zagazig University

Email

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City

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Orcid

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First Name

Mohamed Abdelfattah Elsayed

Last Name

Abo Sleem

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine – Zagazig University

Email

m7mdsleem2020@gmail.com

City

-

Orcid

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Volume

81

Article Issue

3

Related Issue

17515

Issue Date

2020-10-01

Receive Date

2020-10-04

Publish Date

2020-10-01

Page Start

1,639

Page End

1,643

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 3_Pages 1639-1643.pdf

PDF . 542.8kB

Link

https://ejhm.journals.ekb.eg/article_117020.html

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https://ejhm.journals.ekb.eg/service?article_code=117020

Order

17

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023