From 1986 to 1988, 171 patients with thoraco-lumbar vertebrae fructures were admitted to the Department of Orthopaedic Surgery and Traumatology clinic of Ege University. The stable fractures of 108 patients were treated with conservative methods, with a postural reduction, body cast and total contact plastic thoracolumbosacral orthosis. Unstable fractures of 63 patients underwent early surgical reduction and external fixation with double Harrington instrumentation.\nThe decrease in angle of kyphosis were more significant in surgical cases than the conservative.\nThe difference in decreasing of scoliosis was not important between surgical and conservative treatment\nThe follow-up vertebral index was found similar in both of methods\nThere were no significant neuorological recovery between two methods. The incidence of complications were higher in surgical cases. The reason. The reason is mostly the surgical cases were injured with more severe trauma.
Özet
Travmatik vertebra kırığı olan 171 hasta 1986 ile 1988 yılları arasında kliniğimize başvurmuştur. Olguların 108 inde postural redüksiyon, gövde alçısı, polietilen ortez veya korse ile konservatif, 63 olgu ise açık redüksiyon ve Harrington rodu ile stabilize edilmiştir. Başvuru esnasında yapılan radyolojik tetkik ve klinik bulgulara göre stabilite saptanmıştır. Çoğunlukla stabil ve nörolojik lezyonu olmayanlar konservatif, instabil veya nörolojik lezyonu olguyarda ise cerrahi tedavi uygulanmıştır. Ortalama takip süresi 12 aydır (min.:4, mak.:26). Konservatif tedavide kifoz 0.22? , skolyoz 1.8?, cerrahi tedavide ise kifoz 9.84?, skolyoz 2? düzelmiştir. En sık gelişen komplikasyon üriner enfeksiyon olup 57 (yüzde 33.3) olguda görülmüştür.
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