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Volume : 34 Issue : 2 Year : 2019



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Results of anterior surgery of the thoracolumbar burst fractures [Medeniyet Med J]
Medeniyet Med J. 2005; 20(1): 18-20

Results of anterior surgery of the thoracolumbar burst fractures

Ömer Karatoprak, Mehmet Emin Şahin, Sever Çağlar, Nadir Şener
SSK Goztepe Hospital, 1st Orthopedics and Traumatology, Istanbul

The selection of surgical approach for thoracolumbar trauma patients depends on the type of the fracture, neurological status and the experience of the surgeon involved. In our study on indications of anterior decompression and stabilization, we evaluated data from treating 36 patients. Patients demographics were as follows: 20 males, 16 females. The mean of their age is 30.6. Neurological status was assessed by Frankel classification. All patients had anterior decompression through vertebrectomy and strut grafting. We used tricortical iliac autograft in 18 (50 %) patients, fibular allograft in 5 (13 %) patients, titanium mesh in 13 (36 %) patients. All patients had postoperative CT scanning to evaluate the canal decompression. Final canal involvement was 4 %. The sagittal contour
was restored. All but one patients improved at least one Frankel grade. They were mobilised after suture removal with a custom made TLSO orthose. No neurological deterioration, major thoracoabdominal complication or implant failure was seen. Upon this review, we concluded that, when appropriate indications are considered, anterior decompression, strut grafting and instrumentation is a safe and effective method in the treatment of unstable thoracolumbar burst fractures.

Keywords: Burst fractures, anterior surgery


Torakolomber burst kırıklarının anterior cerrahi sonuçları

Ömer Karatoprak, Mehmet Emin Şahin, Sever Çağlar, Nadir Şener
SSK Göztepe Eğitim Hastanesi 1. Ortopedi ve Travmatoloji Kliniği, İstanbul

Kliniğimizde anterior dekompresyon, strut greftleme, enstrümantasyon yapılan 36 torakolomber burst kırıklı hasta bu çalışmaya dahil edildi. Olguların nörolojik durumlarını değerlendirmede Modifiye Frankel dereceleme sistemi kullanıldı.
Hastaların 20’si erkek, 16’sı kadın ve ortalama yaş 30.6 idi. Strut greft olarak 18 olguda trikortikal iliak otogref, 5 olguda fibular allogreft ve 13 olguda ise Harms cage kullanıldı. İzlem süresi en az 48 ay olarak bulundu. Sagittal indeks preoperatif 32° iken postoperatif ortalama 15.1° olarak bulundu. Vertebra korpus anterior yükseklik kaybı preoperatif ortalama % 48 olarak saptandı. Kanal işgali ise preoperatif ortalama % 51.1 postoperatif % 4 olarak bulundu. Hastalar Modifiye Frankel Skalasına göre değerlendirildiğinde; 36 hastanın 34’ü (% 94.4) en az bir seviye düzelme gösterdi. Hiçbir hastada nörolojik kötüleşme ve major torakoabdominal komplikasyon görülmedi.

Anahtar Kelimeler: Burst kırığı, anterior cerrahi


Ömer Karatoprak, Mehmet Emin Şahin, Sever Çağlar, Nadir Şener. Results of anterior surgery of the thoracolumbar burst fractures. Medeniyet Med J. 2005; 20(1): 18-20

Corresponding Author: Ömer Karatoprak, Türkiye


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