Unstable vertebral fractures in the lower third of the spine treated with closed reduction and transpedicular posterior fixation: a retrospective analysis of 82 fractures in 78 patients
Seventy-eight patients were treated with closed reduction and transpedicular fixation for 82 spine fractures. The fractures were localised in the lower third of the spine and were all, according to the Denis classification, considered unstable. Eighteen patients had neurological deficiencies. One pa...
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| Veröffentlicht in: | European spine journal 1997-07, Vol.6 (4), p.239-244 |
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| creator | Strømsøe, K Hem, E S Aunan, E |
| description | Seventy-eight patients were treated with closed reduction and transpedicular fixation for 82 spine fractures. The fractures were localised in the lower third of the spine and were all, according to the Denis classification, considered unstable. Eighteen patients had neurological deficiencies. One patient with a fracture in T11 was completely paraplegic, four patients had a cauda equina syndrome while the rest had radicular symptoms only. Primary reconstruction of the vertebral height and the physiological curves of the spine was satisfactorily obtained. An improvement in the neurological symptoms was observed in all patients with fractures distal to the spinal cord, while the patient with the dislocated fracture of T11 remained completely paraplegic during the follow-up. The complication rate of the transpedicular fixation method used reported by other authors could not be confirmed in our material. Iatrogenic neurological damage was not observed. A partial loss in the correction of the traumatic kyphosis was observed after removal of the implant in 11 patients. |
| doi_str_mv | 10.1007/BF01322445 |
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The fractures were localised in the lower third of the spine and were all, according to the Denis classification, considered unstable. Eighteen patients had neurological deficiencies. One patient with a fracture in T11 was completely paraplegic, four patients had a cauda equina syndrome while the rest had radicular symptoms only. Primary reconstruction of the vertebral height and the physiological curves of the spine was satisfactorily obtained. An improvement in the neurological symptoms was observed in all patients with fractures distal to the spinal cord, while the patient with the dislocated fracture of T11 remained completely paraplegic during the follow-up. The complication rate of the transpedicular fixation method used reported by other authors could not be confirmed in our material. Iatrogenic neurological damage was not observed. A partial loss in the correction of the traumatic kyphosis was observed after removal of the implant in 11 patients.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/BF01322445</identifier><identifier>PMID: 9294747</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Classification ; Female ; Fractures ; Humans ; Kyphosis ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - injuries ; Male ; Middle Aged ; Original ; Orthopedic Fixation Devices ; Paralysis ; Patients ; Postoperative Complications ; Retrospective Studies ; Spinal cord ; Spinal Fractures - diagnostic imaging ; Spinal Fractures - surgery ; Spine ; Thoracic Vertebrae - diagnostic imaging ; Thoracic Vertebrae - injuries ; Tomography, X-Ray Computed ; Vertebrae</subject><ispartof>European spine journal, 1997-07, Vol.6 (4), p.239-244</ispartof><rights>Springer-Verlag 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3495-3ebce91dfba5cea1016801e423052c4e7fec8421baf3c38888a714876b9d39263</citedby><cites>FETCH-LOGICAL-c3495-3ebce91dfba5cea1016801e423052c4e7fec8421baf3c38888a714876b9d39263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3454641/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3454641/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9294747$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strømsøe, K</creatorcontrib><creatorcontrib>Hem, E S</creatorcontrib><creatorcontrib>Aunan, E</creatorcontrib><title>Unstable vertebral fractures in the lower third of the spine treated with closed reduction and transpedicular posterior fixation: a retrospective analysis of 82 fractures in 78 patients</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><description>Seventy-eight patients were treated with closed reduction and transpedicular fixation for 82 spine fractures. The fractures were localised in the lower third of the spine and were all, according to the Denis classification, considered unstable. Eighteen patients had neurological deficiencies. One patient with a fracture in T11 was completely paraplegic, four patients had a cauda equina syndrome while the rest had radicular symptoms only. Primary reconstruction of the vertebral height and the physiological curves of the spine was satisfactorily obtained. An improvement in the neurological symptoms was observed in all patients with fractures distal to the spinal cord, while the patient with the dislocated fracture of T11 remained completely paraplegic during the follow-up. The complication rate of the transpedicular fixation method used reported by other authors could not be confirmed in our material. Iatrogenic neurological damage was not observed. A partial loss in the correction of the traumatic kyphosis was observed after removal of the implant in 11 patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Classification</subject><subject>Female</subject><subject>Fractures</subject><subject>Humans</subject><subject>Kyphosis</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Orthopedic Fixation Devices</subject><subject>Paralysis</subject><subject>Patients</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Spinal cord</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Spinal Fractures - surgery</subject><subject>Spine</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>Thoracic Vertebrae - injuries</subject><subject>Tomography, X-Ray Computed</subject><subject>Vertebrae</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9ks9rFTEQx4Mo9dl68S4EBBFhNb92s-lB0GJtoeClPS_Z7KwvJW-zJtlX-6f53znPPqr1YC4Zks_3O5PJEPKCs3ecMf3-0ynjUgil6kdkxZUUFTNSPCYrZhSrGs3NU_Is52vGeG1Yc0AOjDBKK70iP6-mXGwfgG4hFeiTDXRM1pUlQaZ-omUNNMQbSBj5NNA4_j7Ks5-AlgS2wEBvfFlTF2LGOMGwuOLjRO00IGGnPMPg3RJsonPMBZKPiY7-h91Rx9SipKSIFMq2gDIbbrPPu1SteFiNbumMMphKPiJPRhsyPN_vh-Tq9PPlyVl18fXL-cnHi8pJZepKQu_A8GHsbe3AcsablnFQQrJaOAV6BNcqwXs7SidbXFZz1eqmN4M0opGH5MOd77z0Gxgc5sYmdXPyG5tuu2h99_Bm8uvuW9x2UtWqURwNXu8NUvy-QC7dxmcHIdgJ4pI7bYQ23GgE3_wX5PirSjMjakRf_YNexyVh45BSom10K-pd5rd3lMP25gTjfdWcdbvJ6f5MDsIv_37nPbofFfkLHMDCFA</recordid><startdate>19970701</startdate><enddate>19970701</enddate><creator>Strømsøe, K</creator><creator>Hem, E S</creator><creator>Aunan, E</creator><general>Springer Nature B.V</general><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19970701</creationdate><title>Unstable vertebral fractures in the lower third of the spine treated with closed reduction and transpedicular posterior fixation: a retrospective analysis of 82 fractures in 78 patients</title><author>Strømsøe, K ; Hem, E S ; Aunan, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3495-3ebce91dfba5cea1016801e423052c4e7fec8421baf3c38888a714876b9d39263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Classification</topic><topic>Female</topic><topic>Fractures</topic><topic>Humans</topic><topic>Kyphosis</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - injuries</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Orthopedic Fixation Devices</topic><topic>Paralysis</topic><topic>Patients</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Spinal cord</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - surgery</topic><topic>Spine</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>Thoracic Vertebrae - injuries</topic><topic>Tomography, X-Ray Computed</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strømsøe, K</creatorcontrib><creatorcontrib>Hem, E S</creatorcontrib><creatorcontrib>Aunan, E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strømsøe, K</au><au>Hem, E S</au><au>Aunan, E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unstable vertebral fractures in the lower third of the spine treated with closed reduction and transpedicular posterior fixation: a retrospective analysis of 82 fractures in 78 patients</atitle><jtitle>European spine journal</jtitle><addtitle>Eur Spine J</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>6</volume><issue>4</issue><spage>239</spage><epage>244</epage><pages>239-244</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Seventy-eight patients were treated with closed reduction and transpedicular fixation for 82 spine fractures. The fractures were localised in the lower third of the spine and were all, according to the Denis classification, considered unstable. Eighteen patients had neurological deficiencies. One patient with a fracture in T11 was completely paraplegic, four patients had a cauda equina syndrome while the rest had radicular symptoms only. Primary reconstruction of the vertebral height and the physiological curves of the spine was satisfactorily obtained. An improvement in the neurological symptoms was observed in all patients with fractures distal to the spinal cord, while the patient with the dislocated fracture of T11 remained completely paraplegic during the follow-up. The complication rate of the transpedicular fixation method used reported by other authors could not be confirmed in our material. Iatrogenic neurological damage was not observed. A partial loss in the correction of the traumatic kyphosis was observed after removal of the implant in 11 patients.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>9294747</pmid><doi>10.1007/BF01322445</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Classification Female Fractures Humans Kyphosis Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - injuries Male Middle Aged Original Orthopedic Fixation Devices Paralysis Patients Postoperative Complications Retrospective Studies Spinal cord Spinal Fractures - diagnostic imaging Spinal Fractures - surgery Spine Thoracic Vertebrae - diagnostic imaging Thoracic Vertebrae - injuries Tomography, X-Ray Computed Vertebrae |
| title | Unstable vertebral fractures in the lower third of the spine treated with closed reduction and transpedicular posterior fixation: a retrospective analysis of 82 fractures in 78 patients |
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