The results of treatment of uncomplicated incomplete burst fractures of thoracic and lumbar spine

Authors

  • V.O. Radchenko State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • K.O. Popsuishapka State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • N.S. Kufterina Kharkiv National Medical University, Kharkiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.5.2020.212231

Keywords:

burst fracture of the vertebral body, posterior transpedicular fixation, spinal fusion, orthosis

Abstract

Multifragmentary (burst) fracture can occur in case of spine trauma under the influence of high-energy axial compression with penetration of bone fragments into spine canal and paravertebral tissues. Objective: to analyze treatment outcomes in patients with burst thoracic and lumbar spine fractures who were treated by conservative therapy and surgery with short-segment posterior transpedicular fixation. Materials and methods. We performed a retrospective analysis of treatment outcomes in 22 patients with incomplete burst fractures type A3.1 and incomplete burst split fractures type 3.2 of thoracic and lumbar spine without neurological symptoms. Patients were divided into two groups: group A (conservative treatment) and group B (surgical treatment with short-segment transpedicular fixation). We made an assessment of pain severity, value of kyphotic deformity, compression degree, spine stenosis and indexes of sagital balance. Results. Conservative treatment is indicated for patients with burst fractures type A3.1 without neurological symptoms, spine stenosis (up to 10 %) and posterior ligament damage. Method of posterior fusion with short-segment transpedicular fixation can be recommended for the treatment of incomplete burst fractures type A3.1 and A3.2 without neurological symptoms, with preserved pedicles and fragmentation of vertebrae up to 50 % of its square. Short six screw fixation can provide incomplete deformity correction (to 5 %), stable fixation with minimal loss of correction. Conclusions. Conservative and surgical methods of treatment can provide satisfactory clinical results, but X-ray analysis showed advantages of surgical treatment.

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References

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Published

2021-09-30

How to Cite

Radchenko, V., Popsuishapka, K., & Kufterina, N. (2021). The results of treatment of uncomplicated incomplete burst fractures of thoracic and lumbar spine. EMERGENCY MEDICINE, 16(5), 100–113. https://doi.org/10.22141/2224-0586.16.5.2020.212231

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Original Researches

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