Volume : VIII, Issue : III, March - 2019

Pedicle screw and rod fixation for unstable thoracolumbar fractures in adults

Dr. T. Karikalan

Abstract :

Introduction: Spinal injuries are one of the leading causes of morbidity and mortality in young adults. With increase in number of high energy trauma, the incidence of spinal fracture is also high. Depending upon the severity of trauma, around 20% of the thoracolumbar fractures in adults lead to some type of neurological deficit. They are graded according to the ASIA scale from A to E depending upon severity. Our study aims at studying the efficacy of pedicle screw and rod system in achieving stability in thoracolumbar fractures and asses the clinical, neurological and radiological outcome in thoracolumbar fractures in adults. Materials and methods: 20 cases of unstable thoracolumbar fractures admitted between August 2013 to July 2016, in our institution were included in our study. All the patients had X–ray of DL spine, CT spine and MRI of the whole spine and fractures classified accordingly. Patients underwent pedicle screws and rod fixation through posterior approach. All the patients were followed up at regular intervals upto 1 year. Results: In Neurological assessment 50% of patient presented with ASIA scale C, 40% patient with scale D and 10% of patient had ASIA scale E. At the end of 1 year follow up 80% patient had a scale of E, 15% patient had recovered in scale D and one patient(5%) had decreased scale from D to C. In radiological assessment average preoperative angle was 22.5 degrees and immediate postop angle was 8 Degrees and at the end of one year the average angle came to 12.5 degrees. Conclusion: Pedicle screw and rod system has control over all three columns of spine and it is effective in correction of deformity and providing better stability which in turn results in better neurological recovery in thoracolumbar fractures.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

PEDICLE SCREW AND ROD FIXATION FOR UNSTABLE THORACOLUMBAR FRACTURES IN ADULTS, Dr.T.Karikalan INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019

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