THORACOLUMBAR FRACTURE SURGERIES: ANALYSIS WITH THORACOLUMBAR INJURY CLASSIFICATION AND SEVERITY SCORE (TLICS)

Özet

Aim: The purpose of our study is to compare our surgical decisions with TLICS considering our retrospective cases. Materials and Method: We inspected 38 patients who were operated for thoracal, thoracolumbar and lumbar fractures between February 2016 - February 2018 at Ereğli State Hospital Neurosurgery Clinic and classify according to TLICS. Results: We analyzed 38 patient with thoracolumbar trauma. Thirteen (34.3 %) female and 25 (65.7 %) male patients were evaluated. Mostly the cause of trauma was fall. The type of the fracture was frequently burst fractures. 16 (42.1 %) patients were operated for thoracal, 19 (50 %) patients were operated for lumbar fractures and three (7.9 %) patient were operated for thoracic-lumbar fractures. According to TLICS scores 20 patients (52.6 %) classified as surgical, 7 patients (18.5%) as surgeon’s choice and 11 patients (28.9 %) as non-surgical. Conclusion: The recommendation by TLICS score for a conservative treatment modality shows to have limitations in certain patients in need to be managed surgically due to their progressing symptoms especially pain.