How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

574 results for

Thoracolumbar Trauma

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

61. A retrospective study evaluating the correlation between the severity of intervertebral disc injury and the anteroposterior type of thoracolumbar vertebral fractures Full Text available with Trip Pro

A retrospective study evaluating the correlation between the severity of intervertebral disc injury and the anteroposterior type of thoracolumbar vertebral fractures To evaluate the correlation between the severity of intervertebral disc injury and the anteroposterior type of thoracolumbar vertebral fractures.Fifty-six cases of thoracolumbar vertebral fractures treated in our trauma center from October 2012 to October 2013 were included in this study. The fractures were classified (...) by the anteroposterior classification, whereas the severity of intervertebral disc injury was evaluated using magnetic resonance imaging. The Spearman correlation coefficient was used to analyze the correlation between the severity of intervertebral disc injury and the anteroposterior type of thoracolumbar fractures, whereas a χ2 test was adopted to measure the variability between different fracture types and upper and lower adjacent disc injuries.The Spearman correlation coefficients between fracture types

2016 Clinics

62. Radiological Prediction of Posttraumatic Kyphosis After Thoracolumbar Fracture Full Text available with Trip Pro

classification, age, gender, localization) that may lead to progressive kyphosis after a thoracolumbar fracture.Retrospective radiographic analysis of a consecutive patientcohort that presented in our clinic with a traumatic fracture of the thoracolumbar spine between 2004 and 2011. Cobb angle, Gardner angle, vertebral compression angle and anterior vertebral body compression were measured on plain radiographs, direct post-trauma and at follow-up.Age and localization are not significantly correlated (...) Radiological Prediction of Posttraumatic Kyphosis After Thoracolumbar Fracture Classification methods that are currently being used for clinical decision making in thoracolumbar fractures, are limited by reproducibility and prognostic value. Additionally, they do not include kyphosis. As a posttraumatic kyphosis is related to persistent pain, it is of importance to determine a risk of posttraumatic kyphosis based on fracture type and patient characteristics.To determine risk factors (AO

2016 The open orthopaedics journal

63. Pedicle screw position changing policy for nerve injury problems during screw insertion on thoracolumbar compression fractures Full Text available with Trip Pro

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

2016 International journal of surgery case reports

64. Outcomes of Short Segment Posterior Instrumentation in Unstable Thoracolumbar Fractures Full Text available with Trip Pro

Outcomes of Short Segment Posterior Instrumentation in Unstable Thoracolumbar Fractures The spinal traumas are common and leading problem in orthopaedics practice. The individuals are at a risk of high energy trauma in modern era. Unstable thoracolumbar burst fractures are serious injuries of concern, if left untreated may result in marked morbidity and disability to the patient. Thoracolumbar is the second most common segment involved in the spinal cord following spinal injuries followed (...) by cervical segment. The goal of treatment of any spinal injury is restoration of the patient to maximum possible function with disability free life.To analyse the outcomes of unstable thoracolumbar burst fractures stabilized with short segment posterior instrumentation with transpedicular screws.This prospective interventional study consisted of 32 patients with unstable thoracolumbar burst fractures carried out at Department of Orthopaedics, New Civil Hospital, Surat during Jan 2014 to Dec 2015. We

2016 Journal of clinical and diagnostic research : JCDR

65. Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture Full Text available with Trip Pro

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

2016 Case reports in orthopedics

66. Efficacy of Titanium Mesh Cages for Anterior Column Reconstruction after Thoracolumbar Corpectomy Full Text available with Trip Pro

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

2016 Asian spine journal

67. Minimally Invasive 2D Navigation-Assisted Treatment of Thoracolumbar Spinal Fractures in East Africa: A Case Report Full Text available with Trip Pro

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

2016 Cureus

68. Minimally Invasive Spine Surgery for Unstable Thoracolumbar Burst Fractures: A Case Series Full Text available with Trip Pro

 Retrospective clinical review of seven patients with spinal trauma who presented with thoracolumbar burst fracture from July 2012 to April 2013 and were treated with percutaneous pedicle screw fixation. Electronic patient charts and radiographic imaging were reviewed for initial presentation, fracture characteristics, operative treatment, and postoperative course. Results  The patients had a median age of 29 years (range 18 to 57), and 57% were men. The median Thoracolumbar Injury Classification (...) Minimally Invasive Spine Surgery for Unstable Thoracolumbar Burst Fractures: A Case Series Introduction  Traumatic thoracolumbar burst fracture is a common pathology without a clear consensus on best treatment approach. Minimally invasive approaches are being investigated due to potential benefits in recovery time and morbidity. We examine long-term resolution of symptoms of traumatic thoracolumbar burst fractures treated with percutaneous posterior pedicle screw fixation. Methods

2016 The Surgery Journal

69. 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

70. 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

71. Anterior column reconstruction in thoracolumbar injuries utilizing a computer-assisted navigation system. (Abstract)

Anterior column reconstruction in thoracolumbar injuries utilizing a computer-assisted navigation system. Discectomy, corpectomy, and resection of isolated posterior wall fragments are technically demanding steps requiring maximum surgical precision during anterior reconstruction of the unstable thoracolumbar spine.This study investigates the feasibility of computer-aided guidance for these steps. It also analyzes the precision, advantages, and disadvantages of the procedure.Controlled clinical (...) trial.21 patients were included in the trial group; the control group consisted of 10 patients.Total time for surgery was noted. To assess surgical precision, decentralization of the cage was measured in postoperative X-rays. Additionally, parallel alignment of vertebral body endplates with the cage was evaluated in postoperative CT scans.Vertebral body fractures of the thoracolumbar spine addressed by disc-/corpectomy and subsequent cage interposition for anterior reconstruction were included. All

2016 European journal of trauma and emergency surgery : official publication of the European Trauma Society Controlled trial quality: uncertain

72. 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

73. 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

74. 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

75. Reliability of smartphone-based teleradiology for evaluating thoracolumbar spine fractures. (Abstract)

Reliability of smartphone-based teleradiology for evaluating thoracolumbar spine fractures. Timely interpretation of computed tomography (CT) scans is of paramount importance in diagnosing and managing spinal column fractures, which can be devastating. Out-of-hospital, on-call spine surgeons are often asked to evaluate CT scans of patients who have sustained trauma to the thoracolumbar spine to make diagnosis and to determine the appropriate course of urgent treatment. Capturing radiographic (...) picture archiving and communication system (PACS) and sent via a smartphone-based instant messaging application for viewing on a smartphone; and (2) viewed directly on a PACS.Reliability and agreement study.Thirty adults with thoracolumbar spine fractures who had been consecutively admitted to the Division of Orthopedic Surgery of a Level I trauma center during 2014.Intraobserver agreement.CT scans were captured by use of an iPhone 6 smartphone from a computer screen displaying PACS. Then by use

2016 The Spine Journal

76. Temporary Percutaneous Instrumentation and Selective Anterior Fusion for Thoracolumbar Fractures. (Abstract)

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

77. Monosegmental vs bisegmental pedicle fixation for the treatment of thoracolumbar spine fractures. (Abstract)

Monosegmental vs bisegmental pedicle fixation for the treatment of thoracolumbar spine fractures. The anatomy and biomechanics of the thoracolumbar spine place these segments at high risk of trauma injuries. Treatment options are either conservative or surgical, and there is a lack of consensus about the right indications. International scientific publications agree only on basic surgical principles: vertebral stability, deformity correction, protection of neurological structures and fast (...) functional recovery. The most commonly used approach is the posterior approach, which allows the best management of most vertebral fracture patterns. The aim of this study was to compare clinical and radiological outcomes of monosegmental stabilisation with those of bisegmental stabilisation and fusion in the treatment of traumatic thoracolumbar spine fractures.This retrospective clinical and radiological study evaluated 48 consecutive patients treated with monosegmental (Group M; n=14) or bisegmental

2016 Injury

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

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

79. Suspected Spine Trauma

and Lumbar Spine Imaging Injuries to the thoracolumbar spine are even more prevalent than cervical spine injury, with an estimated 4% to 7% of patients presenting to the emergency department with blunt trauma sustaining a fracture of the thoracolumbar spine [13,14]. An increasing rate of thoracolumbar spine fractures has been seen in the United States over the past several decades, despite a decline in other motor vehicle–related injuries [15]. While the exact reason for this increase is uncertain (...) examination has a low to very low sensitivity for identifying thoracolumbar spine injuries [16-18]. Therefore, a low threshold should be maintained for screening the thoracolumbar spine with imaging in the setting of blunt trauma, particularly in older patients, who are at increased risk for spine fractures occurring in the setting of low-energy trauma, such as a fall from standing (ie, fragility fractures), which are due to diminished bone mineralization commonly present in older patient populations

2012 American College of Radiology

80. Renal Trauma

pressure <90 mm Hg in the field or during resuscitation), or other associated injuries and microscopic hematuria. 3. Blunt trauma with injuries known to be associated with renal injury such as rapid deceleration, direct contusion to the flank, flank ecchymoses, or fractures of the lower ribs or thoracolumbar spine, regardless of the presence or absence of hematuria. 4. Penetrating trauma to the upper abdomen or lower thorax regardless of the presence or absence of hematuria. Computed Tomography (...) Renal Trauma Date of origin: 1996 Last review date: 2012 ACR Appropriateness Criteria ® 1 RenalTrauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Renal Trauma Variant 1: Blunt abdominal trauma with microscopic hematuria; no suspicion of associated abdominal injury. Radiologic Procedure Rating Comments RRL* CT abdomen and pelvis with IV contrast 5 ??? X-ray abdomen and pelvis 4 ??? CT abdomen and pelvis without IV contrast 4 If patient has contraindication

2012 American College of Radiology

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>