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Research ArticleLumbar Spine

Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study

Samarth Mittal, Syed Ifthekar, Kaustubh Ahuja, Bhaskar Sarkar, Gobinder Singh, Arvind Rana and Pankaj Kandwal
International Journal of Spine Surgery February 2021, 15 (1) 55-61; DOI: https://doi.org/10.14444/8006
Samarth Mittal
1Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India
MS, DNB
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Syed Ifthekar
1Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India
DNB
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Kaustubh Ahuja
1Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India
MS
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Bhaskar Sarkar
2Department of Trauma and Emergency, AIIMS Rishikesh, Uttarakhand, India
MS
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Gobinder Singh
1Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India
MS
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Arvind Rana
1Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India
MS
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Pankaj Kandwal
1Department of Orthopaedics, AIIMS Rishikesh, Uttarakhand, India
MS
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    Figure 1

    Radiographic parameters: (A) Kyphotic angle: The angle formed between a line drawn parallel to the superior endplate of 1 vertebra above the fracture and a line drawn parallel to the inferior endplate of the vertebra 1 level below the fracture. (B) and (C) Translation percentage: Calculated as C/B × 100, as measured on a lateral plain radiograph. (C) represents the distance between the lines drawn along the posterior borders of the vertebral bodies of the injured motion segment, and (B) represents the measured sagittal diameter of the body of the slipped vertebra. (D) Displacement angle: The angle formed between the lines drawn along the posterior borders of the vertebral bodies of the injured motion segment.

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    Figure 2

    Imaging of a 32-year-old man who had a fall from height. (A) The radiographs (anteroposterior and lateral) and (B) sagittal computed tomography scan show fracture-dislocation at the D12–L1 level. (C) The postoperative radiographs (anteroposterior and lateral) show that the dislocated segment had been realigned to a normal anatomic sequence after short-segment posterior fixation and posterolateral fusion. (D) 16-month follow-up x-ray shows no loss of reduction with a good position of the internal fixation.

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    Figure 3

    D12–L1 fracture-dislocation in a 41-year-old female. (A) Radiographs anteroposterior and lateral view. (B) Sagittal preoperative computed tomography scan. (C) Postoperative x-ray showing reduction of dislocation with long-segment posterior fixation. (D) 6-month follow-up x-ray showing well-maintained alignment and fixation.

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International Journal of Spine Surgery
Vol. 15, Issue 1
1 Feb 2021
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Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study
Samarth Mittal, Syed Ifthekar, Kaustubh Ahuja, Bhaskar Sarkar, Gobinder Singh, Arvind Rana, Pankaj Kandwal
International Journal of Spine Surgery Feb 2021, 15 (1) 55-61; DOI: 10.14444/8006

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Outcomes of Thoracolumbar Fracture-Dislocation Managed by Short-Segment and Long-Segment Posterior Fixation: A Single-Center Retrospective Study
Samarth Mittal, Syed Ifthekar, Kaustubh Ahuja, Bhaskar Sarkar, Gobinder Singh, Arvind Rana, Pankaj Kandwal
International Journal of Spine Surgery Feb 2021, 15 (1) 55-61; DOI: 10.14444/8006
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