Surgical Treatment of Fractures of the Dorso-lombar Spine

Ibn Jazzar Hospital80 enrolled

Overview

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rare The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads ly the vital prognosis

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rarely the vital prognosis . The thoracolumbar spine has an extended transition zone between the tenth thoracic vertebra (T10) and the second lumbar vertebra (L2): the thoracolumbar hinge which, given its particular anatomical situation between a poorly mobile thoracic segment and a dynamic lumbar segment, is the predilection for occurrence of fractures and dislocations . The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads. The analysis of the lesion mechanism and its consequences depends on the understanding of the classification of these lesions which are essential for therapeutic conduct . Surgical treatment constitutes a key element in the management strategy for these fractures

Study Type

OBSERVATIONAL

Enrollment

Conditions

Spine Fracture

Interventions

OsteosynthesisPROCEDURE

Some patients had osteosynthesis using a long construct, others had osteosynthesis using a short construct. Short constructs designated constructs only taking one level above and one level below the injury level (the fractured vertebra was not always included in the construct). The montages taking more than one level above or below the lesion were considered to be a long montage. Osteosynthesis is carried out using Cotrel Dubousset type rods and screws.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * the files of patients hospitalized for a recent fracture of the thoracolumbar spine within 12 months Exclusion Criteria: * Files with insufficient follow-up, patients lost to follow-up. patients presenting: A pathological fracture. Osteoporotic collapse. Material and Methods 3 Staged trauma to the spine. A fracture due to ankylosing spondylitis

Locations (1)

IBN jazzar hospital

Kairouan, Tunisia

Outcomes

Primary Outcomes

Age (in years)

average age of our patients was 38.25 years with extremes of 16 years and 68 years

Time frame: from enrollment to the end of treatment at 4 years

Sex

Our series is characterized by a significant male predominance, it included 47 men (58.75%) and 33 women (41.25%), with a sex ratio of 1.42

Time frame: from enrollment to the end of treatment at 4 years

Neurological status ( Frenkel classification)

3 Frankel A patients, 1 Frankel B patient, 6 Frankel C patients and 6 Frankel D

Time frame: from enrollment to the end of treatment at 4 years

Data from ClinicalTrials.gov

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