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Thoracolumbar Trauma

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21. Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures. (PubMed)

Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures. To evaluate the clinical efficacy of percutaneous curved vertebroplasty (PCVP) in treating thoracic and lumbar osteoporotic vertebral compression fractures (OVCFs).Patients with thoracolumbar OVCFs were recruited and randomly divided into three treatment groups: PCVP, unilateral percutaneous vertebroplasty (PVP) or bilateral PVP. Bone cement dispersion in the fractured vertebrae (...) post-surgery were significantly decreased versus baseline in all groups. The bone cement leakage rate was lowest in the PCVP group (8.8% [3/34 patients]).PCVP is associated with reduced trauma, less complicated surgery with shorter duration, fewer X-rays, lower complication rate, and quicker postoperative recovery versus unilateral and bilateral PVP.

2019 The Journal of international medical research Controlled trial quality: uncertain

22. Suspected Spine Trauma ? Child

O MRI cervical spine without and with IV contrast Usually Not Appropriate O US cervical spine Usually Not Appropriate O Variant 4: Child, younger than 16 years of age, suspected thoracolumbar spine trauma. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography thoracic and lumbar spine Usually Appropriate ??? CT thoracic and lumbar spine without IV contrast May Be Appropriate (Disagreement) ???? MRI thoracic and lumbar spine without IV contrast May (...) ]. Children may have cartilaginous injuries that are not visualized on radiographs but are better detected with MRI [24]. In adults, MRI is the modality of choice to evaluate thoracolumbar trauma patients with neurologic deficits, abnormal CT scans, and high clinical suspicion despite negative radiographic evaluation [25]. Recently, a scoring system based on injury morphology, neurological status, and integrity of the thoracolumbar posterior ligament complex has been introduced to guide treatment

2019 American College of Radiology

23. Thoracolumbar Trauma

Thoracolumbar Trauma Thoracolumbar Trauma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Thoracolumbar Trauma Thoracolumbar Trauma (...) Aka: Thoracolumbar Trauma , Thoracolumbar Injury , Lumbar Spine Trauma , Lumbar Spine Injury , Thoracic Spine Trauma , Thoracic Spine Injury From Related Chapters II. Precautions Physical Exam is inadequate alone to exclude significant thoracolumbar spine injury III. Exam l tenderness Midline spine deformity correlated to spinal levels and s IV. Associated Conditions l (including ) l dislocation l instability Paraplegia Quadriplegia Nerve root injury V. Imaging Indications Not alert Not able

2016 FP Notebook

24. Prehospital spine immobilization/spinal motion restriction in penetrating trauma

. [ ] in a National Trauma Data Bank study showed that the number needed to treat to potentially benefit just one penetrating trauma patient is 1032. In contrast, the number needed to treat to potentially contribute to one death was only 66. Cornwell et al. [ ] looked at 1000 patients in Maryland with torso gunshot wounds and found that only two patients required operative vertebral column stabilization but that given the almost uniformly complete injury sustained with this mechanism, “thoracolumbar (...) , Campbell KA, Phillips J, Lipsett P, Scalea T, Bass R. Thoracolumbar immobilization for trauma patients with torso gunshot wounds: is it necessary? Arch Surg . 2001;136:324–327. DuBose J, Teixeira PG, Hadjizacharia P, Hannon M, Inaba K, Green DG, Plurad D, Demetriades D, Rhee P. The role of routine spinal imaging and immobilisation in asymptomatic patients after gunshot wounds. Injury . 2009;40:860–863. Harrop JS, Sharan AD, Vaccaro AR, Przybylski GJ. The cause of neurologic deterioration after acute

2018 Eastern Association for the Surgery of Trauma

25. A New Paradigm for the Management of Thoracolumbar Pediatric Spine Traumas. (PubMed)

A New Paradigm for the Management of Thoracolumbar Pediatric Spine Traumas. The transient breath holding sign (TBHS) is a clinical sign often associated with magnetic resonance imaging (MRI) spine traumatic lesions. The aims of this study were to prospectively evaluate the TBHS in the detection of thoracolumbar lesions in a large cohort of children and to establish a comprehensive strategy on the use of MRI in spine traumas in children.All conscious 5- to 16-year-old patients admitted (...) for a spine trauma in our institution were prospectively included in the study. All patients were asked for the TBHS and underwent a full spine MRI. Sensitivity and specificity of the TBHS were derived from the confusion matrix. All MRI lesions were analyzed and classified.One hundred ninety-eight patients were included. The sensitivity of the TBHS was 92%, the specificity was 83%, the positive predictive value was 83%, and the negative predictive value was 91%. The x-rays missed 67% of the vertebrae

2015 Pediatric Emergency Care

26. The Reliability and Validity of the Thoracolumbar Injury Classification System in Pediatric Spine Trauma. (PubMed)

The Reliability and Validity of the Thoracolumbar Injury Classification System in Pediatric Spine Trauma. The thoracolumbar injury classification system (TLICS) was evaluated in 20 consecutive pediatric spine trauma cases.The purpose of this study was to determine the reliability and validity of the TLICS in pediatric spine trauma.The TLICS was developed to improve the categorization and management of thoracolumbar trauma. TLICS has been shown to have good reliability and validity in the adult (...) population.The clinical and radiographical findings of 20 pediatric thoracolumbar fractures were prospectively presented to 20 surgeons with disparate levels of training and experience with spinal trauma. These injuries were consecutively scored using the TLICS. Cohen unweighted κ coefficients and Spearman rank order correlation values were calculated for the key parameters (injury morphology, status of posterior ligamentous complex, neurological status, TLICS total score, and proposed management) to assess

2015 Spine

27. Post-trauma scoliosis after conservative treatment of thoracolumbar spinal fracture in children and adolescents: results in 48 patients. (PubMed)

Post-trauma scoliosis after conservative treatment of thoracolumbar spinal fracture in children and adolescents: results in 48 patients. Authors examined a case series of patients younger than 18 years old who had sustained a traumatic thoracolumbar spine fracture to evaluate radiological and clinical findings of coronal spinal balance, after conservative treatment.From 1996 to 2014, a tricentric cohort of 48 patients with an average age of 12 years was radiographically reviewed at 50 months

2015 European Spine Journal

28. Cortical Trajectory Pedicle Screws for the Fixation of Traumatic Thoracolumbar Fractures (PubMed)

at a Level 1 Trauma Center from 2013 to 2017. All patients aged between 18 and 90 years with operative AO classification A, B, and C traumatic thoracolumbar fractures were included. Patients with pathological fractures, active spinal infections, or history of vertebral augmentation were excluded. Age, injury severity score (ISS), AO classification, operative time, estimated blood loss (EBL), length of stay (LOS), and presence of proximal junctional kyphosis (PJK) or construct failure were compared (...) Cortical Trajectory Pedicle Screws for the Fixation of Traumatic Thoracolumbar Fractures Objective Cortical bone trajectory pedicle screws (CBT) have a different trajectory compared to traditional pedicle screws (PS) and they may confer biomechanical advantages in some patient populations. We hypothesize that the placement of CBT in traumatic thoracolumbar fractures could be an alternative technique to the traditional utilization of PS. Methods Single surgeon, retrospective study was performed

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2018 Cureus

29. Magnetic resonance imaging evaluation of intervertebral disc injuries can predict kyphotic deformity after posterior fixation of unstable thoracolumbar spine injuries. (PubMed)

Magnetic resonance imaging evaluation of intervertebral disc injuries can predict kyphotic deformity after posterior fixation of unstable thoracolumbar spine injuries. The aim of the present study is to identify factors correlated with kyphotic deformity after thoracolumbar spine injuries. We performed a retrospective case-control study with data from thoracolumbar spine fracture patients who were treated with posterior spinal fixation. Patients with a follow-up period shorter than 6 months (...) and who experienced low-energy trauma were excluded. Intervertebral disc injuries (IDIs) were graded from 0 to 3 upon admission in accordance with Sander's classification of traumatic intervertebral disc lesions. Vertebral wedge angles (VWAs) and local kyphosis angles (LKAs) were also measured. Patients were allocated to kyphosis and control groups if they had LKA correction losses of ≥10° and <10°, respectively. Forty-eight patients followed over a median period of 25 months were included. The median

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2018 Medicine

30. Thoracoscopic anterior stabilization for thoracolumbar fractures in patients without spinal cord injury: quality of life and long-term results. (PubMed)

Thoracoscopic anterior stabilization for thoracolumbar fractures in patients without spinal cord injury: quality of life and long-term results. To determine the health-related quality of life (QOL), safety and radiologic parameters after thoracoscopic treatment of traumatic thoracolumbar fractures using a distractible cage in patients without spinal cord injury (SCI).Retrospective cohort study of patients treated between 2004 and 2012 in a university level-one trauma center. Patient (...) stabilization leads to a high percentage of bony fusion in highly unstable thoracic and thoracolumbar fractures with limited post-operative loss of correction and no hardware failure. QOL of these patients does not return to normal population values but is comparable to that of patients with less severe fractures treated with solely posterior instrumentation. These slides can be retrieved under Electronic Supplementary Material.

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2018 European Spine Journal

31. Combined pedicle screw fixation at the fracture vertebrae versus conventional method for thoracolumbar fractures: A meta-analysis.

Combined pedicle screw fixation at the fracture vertebrae versus conventional method for thoracolumbar fractures: A meta-analysis. Thoracolumbar fractures is a frequent injury occurring in spinal trauma. Outcomes and complications between combined pedicle screw fixation at the fracture vertebrae (AFV) and conventional method cross the fracture vertebrae (CFV) are still controversial. Thus, this study aimed to evaluate differences in outcome variables between these two operative methods.PubMed (...) , Web of Science, Cochrane Library, EMBASE and CNKI were searched with the terms "thoracolumbar fractures", "posterior", "pedicle screw fixation", and "clinical trial" from Jan 1980 to July 2017. Two reviewers independently screened the studies for eligibility, evaluated the quality and extracted data from eligible studies, with confirmation by cross-checking. The major results and conclusions were concluded, and the different complication rates and functional outcomes were compared. Meta-analysis

2018 International journal of surgery (London, England)

32. Negative Pressure Wound Therapy vs. Sterile Dressing for Patients Undergoing Thoracolumbar Spine Surgery

Negative Pressure Wound Therapy vs. Sterile Dressing for Patients Undergoing Thoracolumbar Spine Surgery Negative Pressure Wound Therapy vs. Sterile Dressing for Patients Undergoing Thoracolumbar Spine Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Negative Pressure Wound Therapy vs. Sterile Dressing for Patients Undergoing Thoracolumbar Spine Surgery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03632005

2018 Clinical Trials

33. Beneficial effect of traditional Chinese medicine fumigation "Bone-healing Powder" in postoperative pain and recovery of neurological function of traumatic thoracolumbar spine fractures: A case-control study. (PubMed)

Beneficial effect of traditional Chinese medicine fumigation "Bone-healing Powder" in postoperative pain and recovery of neurological function of traumatic thoracolumbar spine fractures: A case-control study. Thoracolumbar spine (TLS) fractures are commonly associated with the young healthy population, with its risk factors including both high-energy traumas and neurological deficit. The underlying mechanisms of traditional Chinese medicine (TCM) and TLS fractures have been explored. Therefore

2018 Medicine

34. Therapeutic effect of MIPPSO in the thoracolumbar vertebra fracture (PubMed)

in the TOPSO group (P<0.05). VAS, ODI scores, anterior vertebral height and Cobb's angle were significantly improved at three days, one and 12 months after surgery compared with those before operation. MIPPSO for the treatment of thoracolumbar fractures can achieve similar clinical effects with traditional incision surgery. In addition, it has the advantages of less trauma, less bleeding and shorter post-operative bed rest time and hospital stay. (...) Therapeutic effect of MIPPSO in the thoracolumbar vertebra fracture The purpose of this study was to compare the efficacy of minimally invasive percutaneous pedicle screw osteosynthesis (MIPPSO) and traditional open pedicle screw osteosynthesis (TOPSO) in the treatment of thoracolumbar vertebra fracture. A retrospective case-control study was conducted in 120 patients with thoracolumbar vertebral fractures treated in the Affiliated Jiangyin Hospital of Southeast University Medical School

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2018 Experimental and therapeutic medicine Controlled trial quality: uncertain

35. Risk factor analysis for predicting vertebral body re-collapse after posterior instrumented fusion in thoracolumbar burst fracture. (PubMed)

Risk factor analysis for predicting vertebral body re-collapse after posterior instrumented fusion in thoracolumbar burst fracture. In the posterior instrumented fusion surgery for thoracolumbar (T-L) burst fracture, early postoperative re-collapse of well-reduced vertebral body fracture could induce critical complications such as correction loss, posttraumatic kyphosis, and metal failure, often leading to revision surgery. Furthermore, re-collapse is quite difficult to predict because (...) surgery.Retrospective comparative study.Two-hundred and eight (104 men and 104 women) consecutive patients with T-L burst fracture who underwent posterior instrumented fusion were reviewed retrospectively. Burst fractures caused by high-energy trauma (fall from a height and motor vehicle accident) with a minimum 1-year follow-up were included. The average age at the time of surgery was 45.9 years (range, 15-79). With respect to the involved spinal level, 95 cases (45.6%) involved L1, 51 involved T12, 54 involved L2

2017 The Spine Journal

36. Angiographic and Clinical Characteristics of Thoracolumbar Spinal Epidural and Dural Arteriovenous Fistulas. (PubMed)

Angiographic and Clinical Characteristics of Thoracolumbar Spinal Epidural and Dural Arteriovenous Fistulas. The purpose of this study is to compare the angiographic and clinical characteristics of spinal epidural arteriovenous fistulas (SEAVFs) and spinal dural arteriovenous fistulas (SDAVFs) of the thoracolumbar spine.A total of 168 cases diagnosed as spinal dural or extradural arteriovenous fistulas of the thoracolumbar spine were collected from 31 centers. Angiography and clinical findings (...) , including symptoms, sex, and history of spinal surgery/trauma, were retrospectively reviewed. Angiographic images were evaluated, with a special interest in spinal levels, feeders, shunt points, a shunted epidural pouch and its location, and drainage pattern, by 6 readers to reach a consensus.The consensus diagnoses by the 6 readers were SDAVFs in 108 cases, SEAVFs in 59 cases, and paravertebral arteriovenous fistulas in 1 case. Twenty-nine of 59 cases (49%) of SEAVFs were incorrectly diagnosed

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2017 Stroke

37. Vertebral body spread in thoracolumbar burst fractures can predict posterior construct failure. (PubMed)

Vertebral body spread in thoracolumbar burst fractures can predict posterior construct failure. The load sharing classification (LSC) laid foundations for a scoring system able to indicate which thoracolumbar fractures, after short-segment posterior-only fixations, would need longer instrumentations or additional anterior supports.We analyzed surgically treated thoracolumbar fractures, quantifying the vertebral body's fragment displacement with the aim of identifying a new parameter that could (...) predict the posterior-only construct failure.This is a retrospective cohort study from a single institution.One hundred twenty-one consecutive patients were surgically treated for thoracolumbar burst fractures.Grade of kyphosis correction (GKC) expressed radiological outcome; Oswestry Disability Index and visual analog scale were considered.One hundred twenty-one consecutive patients who underwent posterior fixation for unstable thoracolumbar burst fractures were retrospectively evaluated clinically

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2017 The Spine Journal

38. Does Surgical Intervention or Timing of Surgery Have an Effect on Neurological Recovery in the Setting of a Thoracolumbar Burst Fracture? (PubMed)

Does Surgical Intervention or Timing of Surgery Have an Effect on Neurological Recovery in the Setting of a Thoracolumbar Burst Fracture? Traumatic thoracolumbar burst fractures are one of the most common forms of spinal trauma with the majority occurring at the junctional area where mechanical load is maximal (AOSpine Thoracolumbar Spine Injury Classification System Subtype A3 or A4). Burst fractures entail the involvement of the middle column, and therefore, they are typically associated (...) with bone fragment in the spinal canal, which may cause compression of the spinal cord, conus medullaris, cauda equina, or a combination of these. Fortunately, approximately half of the patients with thoracolumbar burst fractures are neurologically intact due to the wide canal diameter. Recent evidences have revealed that functional outcomes in the long term may be equivalent between operative and nonoperative management for neurologically intact thoracolumbar burst fractures. Nevertheless, consensus

2017 Journal of Orthopaedic Trauma

39. AOSpine Classification Systems (Subaxial, Thoracolumbar). (PubMed)

AOSpine Classification Systems (Subaxial, Thoracolumbar). Numerous classification systems for subaxial and thoracolumbar spine injuries were proposed in the past with the attempt to facilitate communication between physicians. The AO-Magerl, thoracolumbar system, and Subaxial Cervical Spine Injury Classification systems are all well known, but did not achieve universal international adoption. A group of international experienced spine trauma surgeons were brought together by AOSpine (...) with the goal to develop a comprehensive yet simple classification system for spinal trauma. This article is a synopsis of the proposed subaxial and thoracolumbar classification systems. In several studies, this classification system was developed using an iterative consensus process among the clinical experts in sufficient number and quality of DICOM images of real cases searching for meaningful and reproducible patterns. Both systems are based on 3 injury morphology types: compression injuries

2017 Journal of Orthopaedic Trauma

40. Additional vertebral augmentation with posterior instrumentation for unstable thoracolumbar burst fractures. (PubMed)

Additional vertebral augmentation with posterior instrumentation for unstable thoracolumbar burst fractures. To investigate the role of vertebral augmentation in kyphosis reduction, vertebral fracture union, and correction loss after surgical management of thoracolumbar burst fracture.Retrospective chart and radiographic review.Level 1 trauma center.The analysis included patients treated between April 2007 and June 2015, who received pedicle-screw-rod distraction and reduction within two days (...) following acute traumatic thoracolumbar burst fracture with a load sharing score >6. Medical records were retrospectively reviewed for data regarding operative details, imaging and laboratory findings, neurological function, and functional outcomes.Not applicable.Sagittal index, pain score, loss of correction, and implant failure rate.Nineteen patients were enrolled in this study (mean age, 37.2±13years; age range, 17-62 years; female/male ratio: 10/9). Of the five patients who received only reduction

2017 Injury

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