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Thoracolumbar Trauma

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101. Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes

Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population Patients suffered from burst fracture of the thoracolumbar and lumbar spine Criteria Inclusion Criteria: neurologically intact spine with a kyphotic angle more than 20o, decreased vertebral body height more than 50% or a canal compromise more than 50%; incomplete neurological deficit with a canal compromise less than 50%; complete neurological deficit; multilevel spinal injury or multiple trauma. Exclusion Criteria (...) Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes Thoracolumbar Burst Fracture Treated With Pedicle Screws: Radiographic Outcomes - 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

2013 Clinical Trials

102. AOSpine thoracolumbar spine injury classification system: Fracture description, neurological status and key modifiers. (Abstract)

AOSpine thoracolumbar spine injury classification system: Fracture description, neurological status and key modifiers. Reliability and agreement study, retrospective case series.To develop a widely accepted, comprehensive yet simple classification system with clinically acceptable intra- and interobserver reliability for use in both clinical practice and research.Although the Magerl classification and thoracolumbar injury classification system (TLICS) are both well-known schemes to describe (...) thoracolumbar (TL) fractures, no TL injury classification system has achieved universal international adoption. This lack of consensus limits communication between clinicians and researchers complicating the study of these injuries and the development of treatment algorithms.A simple and reproducible classification system of TL injuries was developed using a structured international consensus process. This classification system consists of a morphologic classification of the fracture, a grading system

2013 Spine

103. Retrospective evaluation of the validity of the Thoracolumbar Injury Classification System in 458 consecutively treated patients. (Abstract)

Retrospective evaluation of the validity of the Thoracolumbar Injury Classification System in 458 consecutively treated patients. The Thoracolumbar Injury Classification System (TLICS) system has been developed to improve injury classification and guide surgical decision-making, yet validation of this new system remains sparse.This study evaluates the use of the TLICS in a large, consecutive series of patients.This is a retrospective case series.A total of 458 patients treated for thoracic (...) or lumbar spine trauma between 2000 and 2010 at a single, tertiary medical center were included in this study.American Spinal Injury Association (ASIA) status and crossover from conservative to surgical treatment were measured.Clinical and radiological data were evaluated, classifying the injuries by ASIA status, the Magerl/AO classification, and the TLICS system.A total of 310 patients (67.6%) was treated conservatively (group 1) and 148 patients (32.3%) were surgically (group 2) treated. All patients

2013 The Spine Journal

104. Advances made in the treatment of thoracolumbar fractures: current trends and future directions. (Abstract)

Advances made in the treatment of thoracolumbar fractures: current trends and future directions. Thoracolumbar fractures are common injuries after blunt trauma and are accompanied with significant morbidity, including neurologic deficit. Parallel to the evolution of initial management during the past few years, efforts have been concentrated on determining clear indications for surgical treatment, as there is no agreement over superiority of conservative or operative treatment. Various (...) classification systems have been used for identifying those injuries requiring surgical intervention. Moreover, novel trends in surgical techniques, including minimal invasive surgery, implants and rehabilitation protocols have provided new, promising aspects regarding the treatment and outcomes of thoracolumbar fractures. The present review focuses on these recent advances.Copyright © 2012 Elsevier Ltd. All rights reserved.

2013 Injury

105. Is Early Appropriate Care of axial and femoral fractures appropriate in multiply-injured elderly trauma patients? Full Text available with Trip Pro

of the pelvis, acetabulum, thoracolumbar spine, and/or proximal or diaphyseal femur fractures were treated at a level I trauma center and were prospectively studied. Patients aged ≤30 years (n = 114), 30 to 60 years (n = 184), and ≥60 years (n = 37) with Injury Severity Scores (ISS) ≥16 and unstable fractures of the pelvis, acetabulum, spine, and/or diaphyseal femur were treated within 36 h, provided they showed evidence of adequate resuscitation. ISS, Glasgow Coma Scale (GCS), and American Society (...) Is Early Appropriate Care of axial and femoral fractures appropriate in multiply-injured elderly trauma patients? Previous work established resuscitation parameters that minimize complications with early fracture management. This Early Appropriate Care (EAC) protocol was applied to patients with advanced age to determine if they require unique parameters to mitigate complications.Between October 2010 and March 2013, 376 consecutive skeletally mature patients with unstable fractures

2016 Journal of orthopaedic surgery and research

106. Multi-trauma secondary to hypocalcaemia-induced seizure: A case report Full Text available with Trip Pro

Multi-trauma secondary to hypocalcaemia-induced seizure: A case report Fractures are known sequelae of seizures. We present a young male with bilateral acetabula and surgical neck of humerus (SNOH), right neck of femur (NOF) and thoracolumbar fractures in the context of a hypocalcaemic seizure secondary to severe malnutrition, secondary hyperparathyroidism and vitamin D deficiency. The authors believe that numerous severe injuries in a single patient secondary to seizure are extremely rare

2016 Trauma Case Reports

107. The role of emergency radiology in spinal trauma Full Text available with Trip Pro

influence and therefore treatment. Imaging has an important role in the management of spinal trauma. The aim of this paper was to describe: incidence and type of vertebral fracture; imaging indication and guidelines for cervical trauma; imaging indication and guidelines for thoracolumbar trauma; multidetector CT indication for trauma spine; MRI indication and protocol for trauma spine. (...) The role of emergency radiology in spinal trauma Spinal trauma is very frequent injury with different severity and prognosis varying from asymptomatic condition to temporary neurological dysfunction, focal deficit or fatal event. The major causes of spinal trauma are high- and low-energy fall, traffic accident, sport and blunt impact. The radiologist has a role of great responsibility to establish the presence or absence of lesions, to define the characteristics, to assess the prognostic

2016 The British journal of radiology

108. Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. Full Text available with Trip Pro

describe the normal anatomy of various ligamentous structures. Indications of MRI in spinal trauma as well as the role of MRI in diagnosing spinal cord and soft tissue injuries will then be discussed. Illustrated cases are mainly of cervical spine trauma, but thoracolumbar spine injuries are also included where appropriate in our review. (...) Role of magnetic resonance imaging in acute spinal trauma: a pictorial review. Magnetic resonance imaging (MRI) has been playing an increasingly important role in the spinal trauma patients due to high sensitivity for detection of acute soft tissue and cord injuries. More and more patients are undergoing MRI for spinal trauma in the emergency settings, thus necessitating the interpreting physicians to be familiar with MRI findings in spinal trauma. In this pictorial review, we will first

2016 BMC Musculoskeletal Disorders

109. Retrospective analysis of 616 air-rescue trauma cases related to the practice of extreme sports. (Abstract)

accidents, characterized by a large proportion of severe injuries and axial traumas (spine, thorax, pelvis and proximal femur). We identified a considerable percentage of thoracolumbar vertebral fractures, mainly in the T12-L2 junction. HEMSs dedicated to high-risk ESs implied longer and more complex interventions.Copyright © 2016 Elsevier Ltd. All rights reserved. (...) Retrospective analysis of 616 air-rescue trauma cases related to the practice of extreme sports. Extreme sports (ESs) are increasingly popular, and accidents due to ESs sometimes require helicopter emergency medical services (HEMSs). Little is known about their epidemiology, severity, specific injuries and required rescue operations.Our aims were to perform an epidemiological analysis, to identify specific injuries and to describe the characteristic of prehospital procedures in ES accidents

2016 Injury

110. The reliability of nonreconstructed computerized tomographic scans of the abdomen and pelvis in detecting thoracolumbar spine injuries in blunt trauma patients with altered mental status (Abstract)

The reliability of nonreconstructed computerized tomographic scans of the abdomen and pelvis in detecting thoracolumbar spine injuries in blunt trauma patients with altered mental status Computerized tomography, traditionally utilized to evaluate and detect visceral abdominal and pelvic injuries in multiply injured patients with altered mental status, also has been useful for detecting thoracolumbar spine fractures and dislocations. The purpose of the present study was to test the reliability (...) of nonreconstructed computerized tomography of the abdomen and pelvis as a screening tool for thoracolumbar spine injuries in blunt trauma patients with altered mental status.The study consisted of fifty-nine consecutive patients with altered mental status who were admitted to a Level-II trauma center. Each patient had a nonreconstructed computerized tomographic scan of the abdomen and pelvis (5-mm slices), and of the chest when indicated, as well as anteroposterior and lateral radiographs of the thoracolumbar

2010 EvidenceUpdates

111. Early Predictors of Functional Disability Following Spine Trauma: A Level 1 Trauma Center Study: Early Predictors of Functional Disability. (Abstract)

spine trauma predictors of functional disability with statistical significance (P < 0.05). They were (1) hypotension (OR [odds ratio] = 1.98; CI [confidence interval] = 1.13-3.49), (2) hyperglycemia (OR = 1.67; CI = 1.09-2.56), and (3) moderate/severe traumatic brain injury (OR = 5.88; CI = 1.71-20.16). There were 305 patients with subaxial cervical spine injuries and 653 patients with thoracolumbar spine injuries. The subaxial cervical spine injury classification and thoracolumbar injury (...) classification and severity score compliance studies returned agreements of 96.1% and 98.9%, respectively.Early independent spine trauma predictors of functional disability identified in a level 1 trauma center with high compliance to the subaxial cervical spine injury classification and thoracolumbar injury classification and severity score algorithms were hypotension, hyperglycemia, and moderate or severe traumatic brain injury. Spine trauma injury variables alone were shown not to be predictive

2013 Spine

112. Retrospective analysis of whole-body multislice computed tomography findings taken in trauma patients Full Text available with Trip Pro

%) and thoracic (28.6%) regions, respectively. The most common finding in the head and face region was fractures. The most common pathological findings in the thoracic region were pulmonary contusion and rib fractures. A significant relationship was detected between trauma type and spinal MSCT result (p < 0.001). In a large percentage of the patients, MSCT findings were normal in the abdominal region and genitourinary system. Vertebral fractures were most frequently detected in the thoracolumbar region.In our (...) Retrospective analysis of whole-body multislice computed tomography findings taken in trauma patients Using whole-body multislice computed tomography (MSCT) excessively or with irrelevant indications can be seen in many centers. The aim of this study was to analyze retrospectively the MSCT findings in trauma patients admitted to the emergency department.Records of the patients who have applied to the emergency department due to blunt trauma in a 12 month period and whose whole body MSCT images

2015 Turkish journal of emergency medicine

113. Integrity of "damage control" posterior spinal fusion constructs for poly-trauma patients: A biomechanical investigation. (Abstract)

Integrity of "damage control" posterior spinal fusion constructs for poly-trauma patients: A biomechanical investigation. Biomechanical.Evaluate spinal stability achieved with different levels of posterior percutaneous fixation (postPerc) for thoracolumbar fractures in cadavers subjected to ICU activities."Spine damage control" involves postPerc performed within 24 hours of injury and staged, elective, definitive stabilization. Amount of instrumentation needed to initially achieve adequate (...) with intact. During ex situ testing, 2 and 3 levels above/below were similar; 1 level above/below had significantly greater laxity in flexion, extension, and axial rotation.Posterior instrumentation 2 or 3 levels above/below a severe thoracolumbar fracture model can restore spinal stability back to its intact condition. 2 levels of fixation above/below this "worst-case scenario" is minimum fixation sufficient to provide absolute spinal stability in the ICU setting as a "Damage Control" technique

2015 Spine

114. Can initial clinical assessment exclude thoracolumbar vertebral injury? Full Text available with Trip Pro

Can initial clinical assessment exclude thoracolumbar vertebral injury? The aim of this study was to test the hypothesis that all blunt trauma patients, presenting with a Glasgow coma scale (GCS) score of 15, without intoxication or neurological deficit, and no pain or tenderness on log-roll can have any thoracolumbar fracture excluded without imaging.All patients diagnosed with a thoracolumbar fracture presenting to the emergency department of a major trauma centre and having an initial GCS (...) to the thoracolumbar spine elicited on log-roll. This subgroup was significantly older (p=0.033) and a high proportion of patients (64.3%) had a concurrent fracture of the cervical spine. Within this subgroup, a clinically significant unstable thoracic fracture was present in three patients, with all three patients exhibiting symptoms and signs of neurological injury or having a concurrent cervical vertebral fracture.In this population of blunt trauma patients with a GCS score of 15, not under the influence

2012 Emergency Medicine Journal

115. Radiological study on disc degeneration of thoracolumbar burst fractures treated by percutaneous pedicle screw fixation. Full Text available with Trip Pro

remains. The associated disc degeneration is less well known after 9-12 months of the short segment pedicle screw fixations. There is a major controversy whether spinal trauma with vertebral endplate fractures can result in posttraumatic disc degeneration. No study to date, however, has assessed disc degeneration of the AO type A3 thoracolumbar fractures without neurologic deficits after pedicle screw fixations.Twenty-six patients with single-level AO type A3 thoracolumbar fractures (...) Radiological study on disc degeneration of thoracolumbar burst fractures treated by percutaneous pedicle screw fixation. To examine disc degeneration at levels adjacent and next adjacent to the fractured vertebra and to analyses, if the disc degeneration is determined by the endplate fracture. Thoracolumbar burst fracture is one of the most common spinal injuries. The diagnostic (clinical and imaging) approach and treatment of a fractured vertebra is well established; however, some controversy

2012 European Spine Journal

116. Supine thoracolumbar sagittal spine alignment: comparing computerized tomography and plain radiographs. (Abstract)

Supine thoracolumbar sagittal spine alignment: comparing computerized tomography and plain radiographs. Imaging supine sagittal alignment study.Our goal was to determine differences between plain radiographs and computed tomography (CT) scans in supine sagittal alignment and to establish supine reference Cobb angles for both.Few studies have compared plain radiographs versus CT scans with regard to sagittal spine alignment. None have utilized supine patients.Fifty sequential blunt trauma (...) individuals who had routine clearance of the thoracolumbar spine had their plain radiographs and CT scans reviewed independently by 2 spine surgeons. The Cobb method was utilized to determine angles at each spine level from T4 to L5. All imaging was obtained in the supine position, and no patient had acute ligamentous or bony pathology. Intraclass correlation coefficients (ICCs) were utilized to determine intraobserver, interobserver, and method reliability.Every level within the thoracic region

2012 Spine

117. Can the interpedicular distance reliably assess the severity of thoracolumbar burst fractures? (Abstract)

Can the interpedicular distance reliably assess the severity of thoracolumbar burst fractures? Retrospective analysis of 260 patients with acute spine fractures treated at a tertiary trauma center from 1989 to 2009.To correlate the Interpedicular distance (IPD) to the percentage of narrowing of the spinal canal and to the presence of neurological deficit and laminar fracture in thoracolumbar burst fractures.Several reports use radiographic findings such as severity of vertebrae collapse (...) , comminution of the vertebral body, and grade of localized kyphosis to determine the severity of spinal traumas and establish appropriate management. However, the importance of the IPD in burst fractures has rarely been mentioned, and no report specifically describes the correlation between an increased IPD and the severity of the lesion or a higher occurrence of lamina fractures.Plain radiographs of 260 patients with acute thoracolumbar burst fractures were studied. The percentage of widening between

2012 Spine

118. Thoracic Spine, Trauma

be rudimentary. Each rib is attached to the vertebral body by 2 joint cavities. The lateral costotransverse ligament, the articular capsule, the superior costotransverse ligament, and the intra-articular ligament provide flexible stability between the transverse process and the rib facets. Depictions of the anatomy of the thoracic spine and vertebra are provided in the images below. Thoracic spine trauma. Drawing of the thoracolumbar spine viewed from an oblique frontal projection. SC indicates the spinal (...) adults. In general, anteroposterior (AP) and lateral radiographs should be obtained in the emergency department while other measures of resuscitation are performed. Multidetector CT scans with intravenous contrast enhancement are indicated in most patients to exclude intrathoracic vascular injury. In patients who have sustained blunt trauma, multidetector CT has been proposed as a screening study for thoracolumbar fracture. [ , , ] MRI of the thoracic spine should be reserved for patients

2014 eMedicine Radiology

119. Thorax, Trauma

is an important diagnostic and prognostic tool in patients with thoracolumbar compression–type fractures. MRI with breath-hold acquisition permits good visualization of diaphragmatic abnormalities, but this technique cannot be performed in emergency situations. MRI offers a major advantage in exploring the cord, disks, and ligaments and in looking for a hematoma. Nevertheless, the indication is carefully weighed in patients with multiple trauma because of monitoring difficulties during the examination, which (...) Thorax, Trauma Thoracic Trauma Imaging: Practice Essentials, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzU3MDA3LW92ZXJ2aWV3 processing > Thoracic Trauma Imaging Updated: Sep

2014 eMedicine Radiology

120. Lumbar Spine, Trauma

; and penetrating trauma, including gunshot wounds and stabbings. Fractures of the pelvis often are associated with injury to the sacral plexus and the lower lumbar spine. Lumbar spine trauma. Drawing of the thoracolumbar spine viewed from an oblique frontal projection. AF indicates annulus fibrosis; DNR, dorsal nerve root; NP, nucleus pulposus; NRG, nerve root ganglion; SC, spinal cord; SN, spinal nerve; TP, transverse process; VB, vertebral body; and VNR, ventral nerve root. Lumbar spine trauma. Lateral (...) be in spasm at the time of an examination, preventing localization of a bleeding site. Previous References Rush JK, Kelly DM, Astur N, Creek A, Dawkins R, Younas S, et al. Associated injuries in children and adolescents with spinal trauma. J Pediatr Orthop . 2013 Jun. 33(4):393-7. . Inaba K, Nosanov L, Menaker J, Bosarge P, Williams L, Turay D, et al. Prospective derivation of a clinical decision rule for thoracolumbar spine evaluation after blunt trauma: An American Association for the Surgery of Trauma

2014 eMedicine Radiology

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