Thoracolumbar Junction Fractures

Introduction: This study aims to investigate the one level thoracolumbar junction traumatic fracture operations. Methods: Thirty-two patients who were diagnosed and operated for one level traumatic thoracolumbar junction fractures were investigated between 2012-2018 retrospectively in this study. Results: In this study, 32 patients were included. Mean age of the patients was 51.7±13.1 years. Fourteen patients (43.8%) were females and 18 were males (56.3%). Twenty-two patients had an L1 fracture (68.8%), six patients had T11 fracture (18.8%), and four patients had T12 fracture (12.5%). The most frequent operations applied to patients were T11-12-L1-2 pos- terior fusion (PF) to 16 patients (50%) and T11-12-L2-3 PF and T9-10-11-12-L1 PF to four patients for each (12.5%). The age distribution between genders was statistically similar (p=0.12). Likewise, the distributions of disease localization (p=0.92) and operation types (p=0.91) were also similar between female and male patients. Discussion and Conclusion: Thoracolumbar junction fractures are similar between genders in localization and surgery type. In stable fractures treated conservatively, the use of orthoses has not shown a benefit greater than the use of no immo- bilization at all. If surgery is chosen, posterior approaches are related to fewer complications than anterior or combined approaches, and percutaneous techniques have shown good results, especially in polytrauma patients.

Kaynakça

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Kaynak Göster

  • ISSN: 2630-5720
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: Kare Yayıncılık

1.8b 1.4b

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