Journals / Ulusal Travma Dergisi / 1999 / Cilt: 5 - Sayı: 1
Spinal instrumentation in thoracolumbar traumas
- Journal
- Ulusal Travma Dergisi
- Pages
- 24–27
- DOI
- —
Abstract
Injuries ofcolumna vertebralis had increased together with high energy traumas related with advanced technology. Because of unsatisfactory results of conservative therapies and far rapid rehabilitation aggresive surgical procedures have been widely accepted in last fifteen years. In this study, 14 cases with thoracolumbar traumas were reported. The clinical status of the patients have been according to Frankel classification. Biomechanics of trauma was classified according to Denis classification. For posterior stabilization we applied pedicle screw plating in 8 patients, rod-hook system in 2 patients classified. For anterior stabilization we used anterior instrumentation in 2 cases and we also used combined techniques together with anterior-posterior stabilization in 2 patients. In addition, we performed total laminectomy in 8 patients and corpectomy in 2 cases. All the patients have been mobilized with thoracolumbar brace after 3 dayspostoperativeiy in this manuscript. We discussed various techniques of stabilization in thoraco-lumbar injuries according to trauma biomechanics. Key Words: Instrumentation, stabilization, thoracolumbar trauma.
Özet
Giinumuzun gelisen teknolojisi He birlikte ytiksek enerjili travma stkhgt ve buna kosut olarak gelisen vertebral kolon yardlanmalan onemli olcude artmistir. Konservatif tedavinin sonuclannmyeterli oranda tatminkar olmamasi, instabii torakal ve lomber vertebral kmklann yeterli stabilizasyonu, daha hizh rehabilitasyon, daha kolay bakim ve komplikasyonlann azaltilmasi icin daha radikal cerrahi yaklasimlann yapdmasi gerektigi ozellikle son 15 ytlda yogunlasmistir. Bu cahsmada; torakolomber travmalt 14 hasta degerlendirilmistir. Hastalarm klinik tablosu Frankel, travma biyomekanigi Denis simflamasina gore degerlendirilmistir. Hastalara cerrahi tedavi olarak Sine transpedfkiiler vida teknigi, 2 hastaya rod-kanca sistemi He posterior stabilizasyon, 2'sine anterior enstriimentasyon, Xsinede anterior ve posterior stabilizasyon yontemleri uygulanmistir. Ayrtca hastalarm 8'ine total laminektomi, 2'sine korpektomi yapilmisttr. Hastalar postoperatif uciincu gun torakolomber korse He mobilize edilmistir. Bu cahsmada torakolomber travmalarda, travma biyomekanigine gore uygulanan cesitli stabilizasyon yontemleri tarttsdmistir. AnahtarKelimeler; Enstriimanstasyon, stabilizasyon, torakolomber travma