[Comparison between arthrodesis and non-arthrodesis in thoracic and lumbar spine fractures: two-year follow-up]. / Comparación entre artrodesis y no artrodesis en fracturas de vértebras torácicas y lumbares: Seguimiento de dos años.
Acta Ortop Mex
; 25(1): 39-44, 2011.
Article
em Es
| MEDLINE
| ID: mdl-21548257
ABSTRACT
INTRODUCTION:
The currently accepted treatment of thoracolumbar fractures is reduction, decompression, fixation and arthrodesis. However, it is not the perfect solution due to the medium- and long-term consequences of arthrodesis, which include the wear of the adjacent segments above and below. Some previous studies have proposed the treatment with fixation without arthrodesis. However, there are no reports on the medium- and long-term clinical and radiographic follow-up. MATERIAL ANDMETHODS:
Two 20-patient groups treated with transpedicular fixation and decompression, one with and one without posterolateral arthrodesis, were compared. CONTROL GROUP The mean hospital stay was 5 days. The postoperative visual analog scale pain score was 2-3 in 4 patients; the rest were asymptomatic. The functional Oswestry disability index was 8.3%. The functional economic rehabilitation scale was 4.55. Case group The mean hospital stay was 5 days. The postoperative visual analog scale pain score was 1-2 in 2 patients; the rest were asymptomatic. The functional Oswestry disability index was 6.3%. The functional economic rehabilitation scale was 6.4.CONCLUSIONS:
Both groups had very similar results. The group without arthrodesis had better results in the Oswestry functional disability scale and the functional economic rehabilitation scale.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fusão Vertebral
/
Vértebras Torácicas
/
Fraturas da Coluna Vertebral
/
Vértebras Lombares
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Acta Ortop Mex
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2011
Tipo de documento:
Article
País de publicação:
MEXICO
/
MX
/
MÉXICO