Thoracolumbar Junction Fractures

Özet

Introduction: This study aims to investigate the one level thoracolumbar junction traumatic fracture operations. Methods: Thirty-two patients who were diagnosed and operated for one level traumatic thoracolumbar junction fractures were investigated between 2012-2018 retrospectively in this study. Results: In this study, 32 patients were included. Mean age of the patients was 51.7±13.1 years. Fourteen patients (43.8%) were females and 18 were males (56.3%). Twenty-two patients had an L1 fracture (68.8%), six patients had T11 fracture (18.8%), and four patients had T12 fracture (12.5%). The most frequent operations applied to patients were T11-12-L1-2 pos- terior fusion (PF) to 16 patients (50%) and T11-12-L2-3 PF and T9-10-11-12-L1 PF to four patients for each (12.5%). The age distribution between genders was statistically similar (p=0.12). Likewise, the distributions of disease localization (p=0.92) and operation types (p=0.91) were also similar between female and male patients. Discussion and Conclusion: Thoracolumbar junction fractures are similar between genders in localization and surgery type. In stable fractures treated conservatively, the use of orthoses has not shown a benefit greater than the use of no immo- bilization at all. If surgery is chosen, posterior approaches are related to fewer complications than anterior or combined approaches, and percutaneous techniques have shown good results, especially in polytrauma patients.