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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2020 / Cilt: 26 - Sayı: 5

Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment

Torakolomber yaralanma sınıflaması ve ciddiyet skoru 4 (TLICS = 4) olan torakolomber vertebra kırıklarının yönetimi: Cerrahi mi, konservatif tedavi mi?

Altuğ DURAMAZ
Evren KARAALİ
Osman ÇİLOĞLU
Aslıhan KUŞVURAN ÖZKAN
Timur EKİZ
Pages
805–810
Publication Date
2022-11-06
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Although the surgery group showed better improvement in VAS scores within six months postoperatively, no significant differencewas observed at the 24th-month evaluation (p

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Objective & Hypothesis:BACKGROUND: This study aims to compare clinical and radiographic outcomes of surgical treatment and conservative treatmentwith bracing in neurologically intact patients with score 4 of TLICS thoracolumbar vertebra fractures.METHODS: Patients with traumatic thoracolumbar junction fractures (T11-L2), the score of TLICS 4, and minimum 24-monthfollow-up were included in this study.
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Key Findings & Data:The groups were compared concerningclinical and demographical features, local kyphotic angles (LKA), vertebra height loss percentage (VHL), Oswestry Disability Index(ODI), Visual Analog Scale (VAS) and time to return to work.RESULTS: There were 74 patients (71 males, 3 females) in the surgery group and 76 patients (58 males, 18 females) in the bracinggroup.
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Conclusion & Impact:Although the surgery group showed better improvement in VAS scores within six months postoperatively, no significant differencewas observed at the 24th-month evaluation (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: This study aims to compare clinical and radiographic outcomes of surgical treatment and conservative treatmentwith bracing in neurologically intact patients with score 4 of TLICS thoracolumbar vertebra fractures.METHODS: Patients with traumatic thoracolumbar junction fractures (T11-L2), the score of TLICS 4, and minimum 24-monthfollow-up were included in this study. Patients were divided into surgery and bracing groups. The groups were compared concerningclinical and demographical features, local kyphotic angles (LKA), vertebra height loss percentage (VHL), Oswestry Disability Index(ODI), Visual Analog Scale (VAS) and time to return to work.RESULTS: There were 74 patients (71 males, 3 females) in the surgery group and 76 patients (58 males, 18 females) in the bracinggroup. Although the surgery group showed better improvement in VAS scores within six months postoperatively, no significant differencewas observed at the 24th-month evaluation (p

Özet

AMAÇ: Torakolomber yaralanma sınıflaması ve ciddiyet skoru 4 (TLICS = 4) olan nörolojik intakt torakolomber vertebra kırıklı hastalarda cerrahi tedavi ve korse tedavisinin klinik ve radyografik sonuçlarının karşılaştırılması amaçlandı. GEREÇ VE YÖNTEM: Travmatik torakolomber kırık (T11-L2), TLICS 4 skoru ve en az 24 ay takip edilen hastalar alındı. Hastalar cerrahi ve korse gruplarına ayrıldı. Gruplar klinik ve demografik özellikler, lokal kifoz açıları (LKA), vertebra yükseklik kaybı yüzdesi (VYK), Oswestry Engellilik İndeksi (ODI), Visual Analog Skala (VAS) ve işe geri dönme süresi açısından karşılaştırıldı. BULGULAR: Cerrahi grubunda 74 hasta (71 erkek, 3 kadın), korse grubunda 76 hasta (58 erkek, 18 kadın) vardı. Cerrahi grupta ameliyat sonrası ilk altı ay içinde VAS skorlarında daha iyi olsa da 24. ayda gruplar arasında anlamlı bir fark gözlenmedi (sırasıyla, p

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Cite This Article

DURAMAZ, A., KARAALİ, E., ÇİLOĞLU, O., ÖZKAN, A. K., EKİZ, T. (2022). Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 26 - Sayı: 5, 805–810. https://ajindex.com/articles/644466

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