Publication:
Functional and Radiological Outcome of Short Same Segment Instrumentation in Thoracolumbar Burst fracture

creativeworkseries.issn1999-6217
dc.contributor.authorThapa, Bishnu Babu
dc.contributor.authorShah, Rajesh Pratap
dc.date.accessioned2025-07-27T06:54:05Z
dc.date.available2025-07-27T06:54:05Z
dc.date.issued2023
dc.descriptionBishnu Babu Thapa Department of Orthopaedics, Shree Birendra Hospital, Kathmandu, Nepal Rajesh Pratap Shah Department of Orthopaedics, Shree Birendra Hospital, Kathmandu, Nepal
dc.description.abstractAbstract Background: Thoracolumbar region is important biomechanics transition zone in which rigid thoracic and flexible lumbar spine meet. This area is highly vulnerable to traumatic spinal fracture.Among all spine fracture, compression type is most common and managed conservatively. Thoracolumbar spine fracture can be associated with neurological deficit, spinal instability. The optimal treatment for these injuries is still controversy and subject for research. Methods: This retrospective study included 30 patients with single level thoracolumbar fracture.All the patients clinical and radiological parameters were evaluated preoperative, post-operative and 1 year follow up. Clinical parameters were included Visual analogue score, Oswestry disability index. Radiologic measurement were regional kyphotic angle by cobb’s method and anterior vertebral body height loss (Mumford’ santerior body compression equation method) in X-ray. All the data were analysed in SPSS version 20. Results: A total of 30 patients were included in this study,19 were male.The mean age of the patients were 40.8±13.The main cause of injury was fall from height,26 patients. The most common level of fracture vertebra was L1,11 patients.The mean difference of preop and postop kyphosis was 11.70±50 with P<0.05.The mean difference of preop Oswestry disability index and postop Oswestry disability index score was 30.7±7.6 with T score 22(P<0.05).The preop and postop Visual analogue score score also improved ,mean difference was 2.8±1(P<0.05). Conclusions: Short segment instrumentation with placement of pedicle screw at fracture vertebra is one option in the treatment of thoracolumbar burst fracture. Keywords: Burst; instability; kyphosis; neurological; thoracolumbar
dc.identifierhttps://doi.org/10.33314/jnhrc.v21i1.4387
dc.identifier.urihttps://hdl.handle.net/20.500.14572/731
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleFunctional and Radiological Outcome of Short Same Segment Instrumentation in Thoracolumbar Burst fracture
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage18
oaire.citation.startPage15
relation.isJournalIssueOfPublication0b756562-9f28-45a1-a148-be81ddb98bf5
relation.isJournalIssueOfPublication.latestForDiscovery0b756562-9f28-45a1-a148-be81ddb98bf5
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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