classificação de mccormack e colapso sagital na fratura toracolombar explosão mccormack classification and kyphotic deformity in thoracolumbar burst fractures

Clicks: 262
ID: 169992
2007
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Abstract
O aumento da cifose toracolombar após tratamento conservador da fratura tipo explosão é complicação constatada por vários autores. Realizamos estudo retrospectivo com 33 portadores de fratura toracolombar do tipo explosão submetidos ao tratamento conservador entre 1992 a 2004 para verificar a correlação entre a cifose toracolombar e a Classificação de McCormack, que pontua a gravidade da fratura conforme a cominuição do corpo, o deslocamento dos fragmentos no corpo vertebral e a quantidade de correção da deformidade em cifose após o tratamento. Após 30 meses de seguimento médio, verificamos correlação entre a pontuação da Classificação de McCormack, conhecida na literatura como load sharing classification, e o colapso vertebral sagital nestes pacientes (p<0,05;r=0,65). A despeito de ser descrita para avaliação do colapso sagital após o tratamento cirúrgico, a aplicabilidade desta Classificação pode ser considerada para os portadores de fratura toracolombar explosão submetidos ao tratamento conservador.
The increasing incidence of thoracolumbar kyphosis after conservative treatment of burst fractures is a complication reported by several authors. We performed a retrospective study on a consecutive series of 33 patients with thoracolumbar burst fractures treated with cast or brace immobilization between 1992 and 2004 to check for a correlation between thoracolumbar kyphosis and Load Sharing Classification, which provides fracture severity scores according to body comminution, vertebral body fragments displacement and the amount of kyphosis correction delivered after treatment. After an average of 30 months of follow-up we found a correlation between Load Sharing Classification scores (also known as McCormack's Classification), and the sagittal kyphotic deformity on these patients (p<0.05;r=0.65). Despite of being described for assessing sagittal deformity after surgical treatment, the applicability of this Classification can be considered for patients with thoracolumbar burst fractures submitted to conservative treatment.
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Authors ;Osmar Avanzi;Lin Yu Chih;Robert Meves;Maria Fernanda Silber Caffaro;Rodrigo Rezende;Carlos Abdalla Castro
Journal current opinion in food science
Year 2007
DOI
10.1590/S1413-78522007000500003
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522007000500003
Keywords
spinal cord injuries lumbar vertebraemedicineorthopedic surgery

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