tratamento cirúrgico da fratura toracolombar surgical treatment of thoracolumbar fractures

胸腰椎骨折的手术治疗

Clicks: 366
ID: 155800
2009
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #10 of 45 articles by views in current opinion in food science

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
INTRODUÇÃO: Várias são as causas responsáveis pelo atraso no diagnóstico da fratura toracolombar explosão, entretanto poucos trabalhos discutem a respeito do tratamento das fraturas operadas após algumas semanas do trauma. OBJETIVO: O objetivo deste estudo retrospectivo foi verificar o resultado do tratamento dos pacientes operados entre três a cinco semanas do trauma mediante artrodese e instrumentação metálica posterior. PACIENTES E MÉTODOS: De 1980 a 2004, excluindo as seqüelas ou fraturas recentes, 15 apresentaram um seguimento mínino de um ano. De acordo com a escala de Frankel, três dos cinco pacientes com alteração do quadro neurológico melhoraram (60%). RESULTADOS: Do ponto de vista clínico, 10 pacientes estão assintomáticos. Um apresentou infecção superficial e uma disfunção esfincteriana. Do ponto de vista radiográfico, a principal complicação encontrada foi a cifose no local da fratura, ocorrendo em cinco pacientes (33%). Houve piora média de 3 graus em relação ao valor da radiografia inicial. CONCLUSÃO: Acreditamos que, do ponto de vista da cifose no pós-operatório, a fratura toracolombar explosão subaguda deve ser tratada de forma distinta.
INTRODUCTION: Several factors are responsible for the late diagnosis of thoracolumbar burst fractures; however, few papers have been published concerning the treatment of these fractures weeks after the original trauma. OBJECTIVE: This is a retrospective study aimed to verify treatment outcomes of patients submitted to arthrodesis and posterior instrumentation three to five weeks after thoracolumbar burst fractures. PATIENTS AND METHOD: From 1980 to 2004, excluding patients with sequelae or recent fractures, 15 cases were identified with a minimum follow-up period of one year. RESULTS: From the clinical viewpoint, 10 patients were asymptomatic and according to the Frankel scale, three of the five patients that presented neurological changes showed improvement (60%). One patient presented superficial infection and sphincter dysfunction. X-ray studies demonstrated kyphosis on fracture site to be the main complication, affecting five patients (33%). There was a mean 3 degree worsening of the kyphosis compared to the values found on early X-ray images. CONCLUSION: We believe, based on a postoperative kyphosis perspective, that subacute thoracolumbar burst fractures should be treated in a specific manner.
引言：导致胸腰段爆裂性骨折延误诊断的因素有多种，然而鲜有文献探讨创伤数周后方接受手术的骨折治疗。目的：本回顾性研究旨在评估创伤后3至5周行后路金属内固定融合术患者的治疗效果。患者与方法：1980年至2004年间，排除后遗症期或新鲜骨折患者后，共有15例患者至少随访1年。根据Frankel分级，5例伴有神经功能改变的患者中有3例改善（60%）。结果：从临床角度看，10例患者无症状。1例出现浅表感染和括约肌功能障碍。从影像学角度看，主要并发症为骨折部位后凸畸形，发生于5例患者（33%）。与最初X线片测量值相比，后凸角平均加重3度。结论：我们认为，从术后后凸畸形的角度考量，亚急性胸腰段爆裂性骨折应采取针对性的治疗方式。
引言：多种因素导致了胸腰段爆裂性骨折的延迟诊断；然而，关于原始创伤数周后此类骨折治疗的文献报道较少。目的：本回顾性研究旨在评估胸腰段爆裂性骨折后3至5周行后路内固定融合术患者的治疗结局。患者与方法：1980年至2004年间，排除伴有后遗症或新鲜骨折的患者，共纳入15例随访期至少1年的病例。结果：从临床角度看，10例患者无症状；根据Frankel分级，5例出现神经功能改变的患者中有3例改善（60%）。1例患者出现浅表感染和括约肌功能障碍。X线检查显示骨折部位后凸畸形为主要并发症，发生于5例患者（33%）。与早期X线影像测得的数值相比，后凸畸形平均加重3度。结论：从术后后凸畸形的角度出发，我们认为亚急性胸腰段爆裂性骨折应采取特殊的方式进行治疗。
Reference Key
avanzi2009actatratamento Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Osmar Avanzi;Robert Meves;Maria Fernanda Silber Caffaro
Journal current opinion in food science
Year 2009
DOI
10.1590/S1413-78522009000100001
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522009000100001
Keywords
spinal cord injuries wounds lesões

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.