Abstract
An: 2017, Nr.1, Articol Nr. 5
Title:
THORACO-LUMBAR A0 A3-A4 SPINE FRACTURES WITHOUT NEUROLOGIC DEFICITS. CONSERVATIVE OR SURGICAL TREATMENT?
Authors:
C. Nanu - Emergency County Hospital, Piatra Neamţ, Orthopedic Department
C.E. Popescu, I. Poeata - Clinical Hospital “Prof. N. Oblu”, Iaşi, Neurosurgical Department
THORACO-LUMBAR A3-A4 SPINE FRACTURES WITHOUT NEUROLOGIC DEFICITS. CONSERVATIVE OR SURGICAL TREATMENT? (Abstract) Aim: to compare radiological and functional results after conservative and surgical treatment in patients with spinal burst fractures. Material and methods: between 2012 and 2015, 112 patients with spinal burst fractures and no neurologic deficits were treated in the Neurosurgical Department of “Prof. N. Oblu” Hospital. They were assessed during 3, 6, and 12 months follow-ups regarding clinical, radiological, and functional results. Results: mean follow-up was 12 months for both groups. There were no statistical differences regarding residual pain between the two groups, but the local kyphosis angle and functional results were significant better in the operative group. Conclusions: conservative treatment seems to be safe and effective for selected patients with thoracolumbar burst fractures. Surgery have advantages in patients with severe burst fractures and in suspected ligamentous lesions.
Key words: SPINE, BURST FRACTURES, CONSERVATIVE, SURGERY
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