Treatment of Multiple Thoracolumbar and Lumbar Spine Fractures: Comparison of Contiguous and NonContiguous Fractures in Non-Osteoporotic Patients (다발성 흉요추 및 요추 골절의 치료: 골다공증이 없는 환자에서의 연속성 골절과 비연속성 골절의 비교)

Sohn Hong Moon (손홍문); Yi Kyu Park (박이규); Sin Wook Kang (강신욱)

Treatment of Multiple Thoracolumbar and Lumbar Spine Fractures: Comparison of Contiguous and NonContiguous Fractures in Non-Osteoporotic Patients

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2018, 25(1), pp.9-27
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Sohn Hong Moon ¹, Yi Kyu Park ¹, Sin Wook Kang ¹

¹조선대학교 의과대학 정형외과학교실

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To evaluate the outcomes of multiple thoracolumbar and lumbar fractures depending on whether the fractures were contiguous. Summary of the Literature Review: The treatment of multiple spine fractures in patients without osteoporosis has rarely been reported. Materials and Methods: From February 2004 to January 2016, 81 patients without osteoporosis who had acute thoracolumbar and lumbar fractures and underwent posterior fusion surgery were evaluated. Patients were divided into 2 groups (group A: contiguous, group B: non-contiguous). We investigated the causes of the injuries, the locations of the injuries within the spine, the range of fusion levels, and functional outcomes based on the patients’ general characteristics. Results: Group A comprised 37 patients and group B comprised 44 patients. In most patients, the fusion included 3 segments (group A: 12, group B: 14) or 4 segments (group A: 9, group B: 10). Group A scored 21.2 and group B scored 19.0 on the Korean Oswestry Disability Index. In both groups, longer fusion was associated with poorer clinical results. In the clinical evaluation of the fusion rate, there was no statistically significant difference between the 2 groups (p=0.446). Conclusions: In this study, patients with multiple vertebral fractures showed more fusion segments and poor clinical outcomes in contiguous fractures. In the patients with non-contiguous fractures, the clinical results were better when a minimal number of segments was fused. Therefore, the authors recommend conservative treatment to minimize the number of segments that are fused in noncontiguous multiple thoracolumbar and lumbar fractures when decompression is not necessary.

KEYWORDS

Thoracolumbar fractures, Lumbar fractures, Contiguous, Non-contiguous

Citation status

* References for papers published after 2023 are currently being built.

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