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Research ArticleArticles

A Comparison of Three Different Methods of Fixation in the Management of Thoracolumbar Fractures

Pavlos Panteliadis, Omar Musbahi, Senthil Muthian, Shivam Goyal, Alexander Sheriff Montgomery and Arun Ranganathan
International Journal of Spine Surgery January 2017, 11 (5) 32; DOI: https://doi.org/10.14444/4032
Pavlos Panteliadis
1Department of Trauma and Orthopedics, Guy’s Hospital, Guy’s and St Thomas NHS Trust, London, England
MD
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Omar Musbahi
2Oxford University Clinical Academic Graduate School, Oxford University, Oxford, England
3Bart’s and The London School of Medicine and Dentistry, Queen Mary University of London, London, England
BEng(Hons), MBBS
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Senthil Muthian
4Spinal Department, Royal London Hospital, Whitechapel Rd, London, England
MRCS
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Shivam Goyal
3Bart’s and The London School of Medicine and Dentistry, Queen Mary University of London, London, England
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Alexander Sheriff Montgomery
4Spinal Department, Royal London Hospital, Whitechapel Rd, London, England
FRCS
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Arun Ranganathan
4Spinal Department, Royal London Hospital, Whitechapel Rd, London, England
FRCS
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    Fig. 1

    Lateral radiograph demonstrating measurement of Cobb angle and segmental kyphosis.

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    Fig. 2

    Mechanism of injury (MOI) of patients with thoracolumbar fractures our study.

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    Table 1

    AOSpine Thoracolumbar Spine Injury Classification System.

    Type ACOMPRESSION FRACTURE
    A0No fracture of the vertebral body - Fracture of the spinous or transverse process
    A1Wedge compression fracture with single endplate involvement and no posterior wall involvement
    A2Split or pincer type fracture
    A3Incomplete burst fracture: Single endplate fracture
    A4Complete burst fracture
    Type B TENSION BAND INJURIES
    B1Monosegmental bony posterior band injury
    B2Posterior tension band disruption: Bony and/or ligamentous
    B3Hyperextension injury
    Type C DISPLACEMENT/ TRANSLATIONAL INJURIES
    CDisplacement beyond physiological range
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    Table 2

    Fracture Classification According to AOSpine Thoracolumbar Spine Injury.

    TypeFrequencyPercentage
    A147.2
    A247.2
    A32647.3
    A41730.9
    B123.6
    B211.8
    C11.8
    Total55100.0
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    Table 3

    Radiological Outcomes of Different Levels of Fixation.

    Levels of fixationFracture ReductionLoss of correction
    6 months12 months
    2/211.7°0.1°3.8°
    2/17°2.6°8°
    1/16°6.4°6°
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International Journal of Spine Surgery
Vol. 11, Issue 5
1 Jan 2017
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A Comparison of Three Different Methods of Fixation in the Management of Thoracolumbar Fractures
Pavlos Panteliadis, Omar Musbahi, Senthil Muthian, Shivam Goyal, Alexander Sheriff Montgomery, Arun Ranganathan
International Journal of Spine Surgery Jan 2017, 11 (5) 32; DOI: 10.14444/4032

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A Comparison of Three Different Methods of Fixation in the Management of Thoracolumbar Fractures
Pavlos Panteliadis, Omar Musbahi, Senthil Muthian, Shivam Goyal, Alexander Sheriff Montgomery, Arun Ranganathan
International Journal of Spine Surgery Jan 2017, 11 (5) 32; DOI: 10.14444/4032
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Keywords

  • thoracolumbar
  • spine
  • fractures
  • fixation
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