EAS Publisher | Treatment of Thoracolumbar Junction Fractures by Short Segment Instrumentation: Does it allow the Long-Term Maintenance of the Reduction?

Treatment of Thoracolumbar Junction Fractures by Short Segment Instrumentation: Does it allow the Long-Term Maintenance of the Reduction?

DOI : https://doi.org/10.36349/easjop.2021.v03i04.004

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The treatment strategy for thoracolumbar vertebral fractures has always been controversially discussed due to it’s anatomical and functional repercussions. Our purpose was to determine whether the osteosynthesis of the thoracolumbar spine fractures by a short segment instrumentation alone allows the maintenance of the long-term reduction. We did a retrospective study of patients with thoraco-lumbar spine fractures operated by short segment instrumentation alone. We measured vertebral kyphosis, regional kyphosis and segmental kyphosis. These measurements were performed preoperatively, postoperatively and at follow-up. From these measurements, we calculated the loss of the correction. Thirty-one patients were selected for the study. The average loss of correction in segmental kyphosis was 14.7%. The average loss of correction in vertebral kyphosis was 23.2%, and the average loss of correction in regional kyphosis was 0.6%. In conclusion, osteosynthesis by a short segment instrumentation alone seems to be insufficient to maintain the long-term reduction.

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