alexa Surgical management of thoracolumbar spine fractures with incomplete neurologic deficits.


Journal of Spine

Author(s): Bradford DS, McBride GG

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Abstract The results of surgical decompression (SD) in 59 patients with neurologic deficits secondary to thoracic or lumbar fractures were evaluated at a mean of 3.7 years after injury. The purpose was to determine whether SD could be correlated with subsequent neurologic outcome. Follow-up neurologic evaluations showed a greater neurologic improvement in the 20 patients who were treated with anterior spinal SD as compared to the 39 patients who received posterior or lateral SD (88\% vs. 64\%). The return of normal bowel and bladder control also occurred more frequently in the anteriorly SD group than the posteriorly treated SD group (69\% vs. 33\%). The inferior results in the posteriorly treated SD group appeared to correlate with a high incidence of bony stenosis as measured on postoperative computed axial tomography.
This article was published in Clin Orthop Relat Res and referenced in Journal of Spine

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