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Thoracolumbar Trauma

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41. Parameters of Neurological Deficit After Thoracolumbar Fractures

neurological deficit in orthopaedics and trauma department of Assiut university hospital from 1st of September 2017 to 31 st of August 2018. Criteria Inclusion Criteria: Any patient with Acute (within one month) thoracolumbar spine fracture above 18 years old with or without neurological deficit In orthopaedics and trauma department of Assiut university hospital from 1st of october 2017 to 30 st of september 2018. Exclusion Criteria: Patients suffering from preoperative neurological diseases. Patients (...) Parameters of Neurological Deficit After Thoracolumbar Fractures Parameters of Neurological Deficit After Thoracolumbar Fractures - 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. Parameters of Neurological

2017 Clinical Trials

42. A Modified Placement of Two Additional Pedicle Screws at the Fracture Level for the Treatment of Thoracolumbar Burst Fractures——a Study Protocol of a Randomised Controlled Trial

Study Description Go to Brief Summary: Controversies exist about the best treatment of burst fractures of the thoracolumbar spine. Adding screws in fractured segment has been proved in many literatures that can improve construct stiffness but sometimes aggravate the trauma of fractured vertebra. Therefore, we are eager to find an optimized placement of two additional pedicle screws at the fracture level for the treatment of thoracolumbar burst fractures. This is the first randomised controlled study (...) A Modified Placement of Two Additional Pedicle Screws at the Fracture Level for the Treatment of Thoracolumbar Burst Fractures——a Study Protocol of a Randomised Controlled Trial A Modified Placement of Two Additional Pedicle Screws at the Fracture Level for the Treatment of Thoracolumbar Burst Fractures——a Study Protocol of a Randomised Controlled Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results

2017 Clinical Trials

43. ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures

ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures - 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. ORthosis vs No Orthosis After Surgically Treated Traumatic Thoracolumbar Fractures (ORNOT) 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: NCT03097081 Recruitment Status : Recruiting First Posted : March 31, 2017

2017 Clinical Trials

44. Bi-Pedicle Fixation of Affected Vertebra in Thoracolumbar Burst Fracture (PubMed)

Bi-Pedicle Fixation of Affected Vertebra in Thoracolumbar Burst Fracture Burst fractures of the spine account for 14% of all spinal injuries and more than 50% of all thoracolumbar trauma. However, there is ambiguity while choosing the right treatment plan. Short Segment Pedicle screw Fixation (SSPF) has become an increasingly popular method of treatment of thoracolumbar burst fractures, providing the advantage of incorporating fewer motion segments in the fixation. Various biomechanical studies (...) showed that the use of pedicle screws could achieve stable construct within short-segment fixation.To evaluate the efficacy of SSPF using longest possible screws in both pedicles of fractured vertebra.A retrospective chart review of 25 single burst thoracolumbar fracture patients, operated between May 2009 to 2015 in a tertiary care trauma center, was conducted. Preoperative and post-operative plain radiographs were evaluated for kyphotic angulations using the traditional Cobb method. Anterior

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2017 Journal of clinical and diagnostic research : JCDR

45. A Levering Technique Using Small Parallel Rods for Open Reduction of High-Grade Thoracolumbar Dislocation (PubMed)

A Levering Technique Using Small Parallel Rods for Open Reduction of High-Grade Thoracolumbar Dislocation Technical report.Dorsolumbar vertebral dislocations, with or without associated fractures, occur secondary to very high velocity trauma. The reduction procedures and techniques, which may be adopted in these situations, have been multifariously discussed in the literature. Our objective was to assess the outcome of a novel reduction maneuver, using parallel rods which we have employed (...) in reduction of high-grade thoracolumbar fractures to achieve precise sagittal balance as well as accurate vertebral alignment with minimal soft tissue damage.The study included a total of 11 cases of thoracolumbar dislocations, who had presented to our emergency spine services following high-velocity trauma. After appropriate systemic stabilization and necessary investigations, all patients were surgically treated using the described technique.There were no surgical complications at 2-year follow-up

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2017 Global spine journal

46. Functional Outcomes of Thoracolumbar Junction Spine Fractures (PubMed)

Functional Outcomes of Thoracolumbar Junction Spine Fractures Few studies have evaluated the functional outcomes of traumatic thoracic and lumbar vertebral body fractures. This study evaluated the functional and clinical outcomes of patients, who sustained a fracture to the thoracolumbar area of the spine (T10 to L2 region), with ≥ 25° kyphosis versus those with less kyphotic curvature.The trauma registry records of two level 1 trauma centers using ICD-9 codes for fracture to the thoracolumbar (...) juncture (T10 to L2 region) were reviewed. Kyphosis angle was measured on the standing lateral thoracolumbar (T1 - L5) radiograph at initial trauma and at clinical follow-up. Functional outcome questionnaires, including the Oswestry Disability Questionnaire (ODQ), the Roland Morris Disability Questionnaire (RMDQ), and the Nottingham Health Profile (NHP), were evaluated at clinical follow-up. Work status and medication used after trauma also were recorded.A total of 38 patients met the inclusive

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2017 Kansas Journal of Medicine

47. Comparison of the effects of minimally invasive percutaneous pedicle screws osteosynthesis and open surgery on repairing the pain, inflammation and recovery of thoracolumbar vertebra fracture (PubMed)

Comparison of the effects of minimally invasive percutaneous pedicle screws osteosynthesis and open surgery on repairing the pain, inflammation and recovery of thoracolumbar vertebra fracture We compared the clinical effects of minimally invasive percutaneous pedicle screws osteosynthesis (MIPPSO) and open surgery on the repair of thoracolumbar vertebra fracture. Seventy patients, who suffered from thoracolumbar vertebra fracture and received treatment at our hospital, were selected (...) percutaneous pedicle screws osteosynthesis is similar to the traditional open surgery, however, the MIPPSO technique has the advantages of small trauma, less bleeding, short duration of operation, rapid post-operative recovery, light pain, less economic cost, and better aesthetic effect and is therefore worthy of clinical promotion.

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2017 Experimental and therapeutic medicine Controlled trial quality: uncertain

48. Pedicle screw position changing policy for nerve injury problems during screw insertion on thoracolumbar compression fractures (PubMed)

Pedicle screw position changing policy for nerve injury problems during screw insertion on thoracolumbar compression fractures Intraoperative neurophysiologic monitoring (IONM) had important role related to the complications in spinal surgery. Somatosensory Evoked Potential (SSEP), Transcranial electric Muscle Evoked Potentials (tceMEPs), and free run EMG are parameters used to asses functional integrity of the nervous system during surgical procedures. Once warning signal was recognized (...) and post operatively pain decreased. After surgery there was no neurological deficit.Acute trauma as a result of spine instrumentation may provoke significant edema, with mass effect causing neurophysiological dysfunction. Administration of intravenous steroid would do at this stage, followed by constant infusion for following 24-48h, may help ameliorating the mass effect and improving the neurologic outcome. Alternatively, immediate pedicle screw changing policy showed absolute recovery of nerve

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2016 International journal of surgery case reports

49. Gait and Balance in Thoracolumbar Spinal Deformity

Gait and Balance in Thoracolumbar Spinal Deformity Gait and Balance in Thoracolumbar Spinal Deformity - 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. Gait and Balance in Thoracolumbar Spinal Deformity (...) of Thoracolumbar Spinal Deformity and Its Surgical Correction on Gait and Balance in Adults Study Start Date : March 2016 Estimated Primary Completion Date : December 2018 Estimated Study Completion Date : December 2018 Arms and Interventions Go to Arm Intervention/treatment Experimental: Surgical Group Gait and balance testing as well as self-reported outcome assessments to be administered before and after surgery Procedure: Surgical intervention Surgery to correct spinal deformity Control Group Gait

2016 Clinical Trials

50. Posterior Percutaneous Pedicle Screw Fixation for Acute Thoracolumbar Vertebral Fractures

internal fixation Not Applicable Detailed Description: History and current related studies Thoracolumbar spinal fractures are frequently seen after trauma because of the biomechanical transitional junction of this structure. The primary treatment method used for traumatic thoracolumbar spinal fracture is posterior pedicle screw fixation, but this method has some disadvantages including severe trauma, extensive bleeding, long rehabilitation time, and long postoperative duration of intractable lumbar (...) Posterior Percutaneous Pedicle Screw Fixation for Acute Thoracolumbar Vertebral Fractures Posterior Percutaneous Pedicle Screw Fixation for Acute Thoracolumbar Vertebral Fractures - 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

2016 Clinical Trials

51. Thoracolumbar Burstfractures, Orthesis or No Orthesis

: ZonMw: The Netherlands Organisation for Health Research and Development Information provided by (Responsible Party): Wouter Bakker, Elisabeth-TweeSteden Ziekenhuis Study Details Study Description Go to Brief Summary: Rationale: Thoracolumbar burst fractures are frequently seen in the trauma population, they have a large impact on patient's wellbeing and are a large economic burden to society. Thoracolumbar burst fractures might not need the standard care of brace immobilization for adequate (...) they are overweight (BMI> 35), need multidisciplinary treatment due to multitrauma, or have inadequate knowledge of the Dutch language. Patients included in the brace group will automatically take part in a brace compliance study. Intervention: One group receives a Thoracolumbar Sacral Orthesis (TLSO) for 6 weeks, the other group receives no TLSO Main study parameters/endpoints: The primary outcome of this study is the functional score at six months after trauma. Secondary outcomes are pain, kyphosis angle

2016 Clinical Trials

52. Posterior Ligament Complex Assessment Without Magnetic Resonance Image in Thoracolumbar Fractures

Posterior Ligament Complex Assessment Without Magnetic Resonance Image in Thoracolumbar Fractures Posterior Ligament Complex Assessment Without Magnetic Resonance Image in Thoracolumbar Fractures - 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. Posterior Ligament Complex Assessment Without Magnetic Resonance Image in Thoracolumbar Fractures (PAM) 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. Read our for details. ClinicalTrials.gov Identifier: NCT02950532 Recruitment Status : Terminated (Variability in measurements to high due to method of assessment

2016 Clinical Trials

53. Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment

Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment - 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. Thoracolumbar Burst Fractures Study Comparing Surgical Versus Non-surgical Treatment 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: NCT02827214 Recruitment Status : Recruiting First Posted : July 11, 2016 Last

2016 Clinical Trials

54. Patients Immobilized with a Long Spine Board Rarely Have Unstable Thoracolumbar Injuries. (PubMed)

immobilization and were transported to a trauma center. Prehospital and hospital records were linked. Data was reviewed to determine if spine imaging was ordered, whether acute thoracolumbar fractures, dislocations, or subluxations were present. Thoracolumbar injuries were classified as unstable if operative repair was performed. Prehospital spine immobilization was documented on 5,593 unique adult subjects transported to the study hospital. A total of 5,423 (97.0%) prehospital records were successfully (...) linked to hospital records. The subjects were 60.2% male, with a mean age of 40.6 (SD = 17.5) years old. An total of 5,286 (97.4%) subjects had sustained blunt trauma. Hospital providers ordered imaging to rule out spine injury in 2,782 (51.3%) cases. An acute thoracolumbar fracture, dislocation, or subluxation was present in 233 (4.3%) cases. An unstable injury was present in 29 (0.5%) cases. No unstable injuries were found among the 951 subjects who were immobilized following ground level falls

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2016 Prehospital emergency care

55. Surgical outcomes of temporary short-segment instrumentation without augmentation for thoracolumbar burst fractures. (PubMed)

Surgical outcomes of temporary short-segment instrumentation without augmentation for thoracolumbar burst fractures. Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. We investigated the clinical and radiological results of temporary short-segment pedicle screw fixation without augmentation performed for thoracolumbar burst fractures with the goal (...) of avoiding treatment failure by waiting to see if anterior reconstruction was necessary.We studied 27 consecutive patients with thoracolumbar burst fracture who underwent short-segment posterior instrumentation using ligamentotaxis with Schanz screws and without augmentation. Implants were removed approximately 1 year after surgery. Neurological function, kyphotic deformity, canal compromise, fracture severity, and back pain were evaluated prospectively.After surgery, all patients with neurological

2016 Injury

56. The value of CT and MRI in the classification and surgical decision-making among spine surgeons in thoracolumbar spinal injuries. (PubMed)

The value of CT and MRI in the classification and surgical decision-making among spine surgeons in thoracolumbar spinal injuries. Although imaging has a major role in evaluation and management of thoracolumbar spinal trauma by spine surgeons, the exact role of computed tomography (CT) and magnetic resonance imaging (MRI) in addition to radiographs for fracture classification and surgical decision-making is unclear.Spine surgeons (n = 41) from around the world classified 30 thoracolumbar (...)  % based on radiographs alone and increased to 81.7 % with CT images (p < 0.0001). The assessment for need of surgery did not change after an MRI (p = 0.77).For accurate classification, radiographs alone were insufficient except for C-type injuries. CT is mandatory for accurately classifying thoracolumbar fractures. Though MRI did confer a modest gain in sensitivity in B2 injuries, the study does not support the need for routine MRI in patients for classification, assessing instability or need

2016 European Spine Journal

57. Minimally Invasive 2D Navigation-Assisted Treatment of Thoracolumbar Spinal Fractures in East Africa: A Case Report (PubMed)

Minimally Invasive 2D Navigation-Assisted Treatment of Thoracolumbar Spinal Fractures in East Africa: A Case Report Spinal surgery under Eastern-African circumstances is technically demanding and associated with significant complications, such as blood loss, infection, and wound breakdown. We report a spinal trauma case that was performed using minimally invasive surgery (MIS) and navigation, and hypothesize that these newer techniques may enable surgeons to perform effective spinal surgery

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2016 Cureus

58. Efficacy of Titanium Mesh Cages for Anterior Column Reconstruction after Thoracolumbar Corpectomy (PubMed)

underwent reconstruction after thoracolumbar corpectomy to treat injury due to trauma (n=10), tuberculosis (n=3), and tumor (n=3). The average duration of follow-up was 18 months (range, 8-58 months). The degree of kyphosis, construct height, and the subsidence of the cage in relation to the vertebral endplates were measured. The approach was thoracoabdominal in 10 cases and retroperitoneal in 6 cases.Four patients were neurologically intact with Frankel grade E on admission, and all remained intact (...) Efficacy of Titanium Mesh Cages for Anterior Column Reconstruction after Thoracolumbar Corpectomy This retrospective study was conducted to determine the safety and efficacy of titanium cage reconstruction and anterior plating after thoracolumbar corpectomy.To study the clinical and radiological outcome of anterior column reconstruction after thoracolumbar corpectomy.Anterior column reconstruction aims to optimize neural decompression with adequate stabilization.A series of 16 patients

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2016 Asian spine journal

59. Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture (PubMed)

Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture We present a rare case of spinal epidural hematoma (SEH) after thoracolumbar posterior fusion without decompression surgery for a thoracic vertebral fracture. A 42-year-old man was hospitalized for a thoracic vertebral fracture caused by being sandwiched against his back on broken concrete block. Computed tomography revealed a T12 dislocation fracture of AO type B2 (...) , multiple bilateral rib fractures, and a right hemopneumothorax. Four days after the injury, in order to promote early orthostasis and to improve respiratory status, we performed thoracolumbar posterior fusion surgery without decompression; the patient had back pain but no neurological deficits. Three hours after surgery, he complained of acute pain and severe weakness of his bilateral lower extremities; with allodynia below the level of his umbilicus, postoperative SEH was diagnosed. We performed

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2016 Case reports in orthopedics

60. Temporary Percutaneous Instrumentation and Selective Anterior Fusion for Thoracolumbar Fractures. (PubMed)

Temporary Percutaneous Instrumentation and Selective Anterior Fusion for Thoracolumbar Fractures. Prospective clinical trial in thoracolumbar trauma with 5-year follow-up.To analyze clinical and radiographic outcomes of minimal invasive surgery, and the rational of circumferential fracture treatment with regard to age, degenerative changes, bone mineral density, and global sagittal balance.Non-neurologic fractures with anterior column defect can be treated by posterior percutaneous (...) of correction: 4.9° versus 1.3° (P = 0.007). Cages filled with cancellous bone from the fractured vertebra fused regularly. Spontaneous facet joint fusions were observed in two patients at the fracture level in B-type injuries.Percutaneous instrumentation and selective anterior fusion using autologous bone and mesh cages lead to high fusion rates, which provided good long-term clinical results in younger patients with thoracolumbar fractures. Sagittal alignment was maintained after instrumentation removal

2016 Spine

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