NONOPERATIVE MANAGEMENT OF STABLE THORACOLUMBAR BURST FRACTURES WITH EARLY AMBULATION AND BRACING

被引：209

作者：

CANTOR, JB ^{[1
]}

LEBWOHL, NH ^{[1
]}

GARVEY, T ^{[1
]}

EISMONT, FJ ^{[1
]}

机构：

[1] UNIV MIAMI,SCH MED,DEPT ORTHOPAED & REHABIL,POB 016960 D-27,MIAMI,FL 33101

来源：

SPINE | 1993年 / 18卷 / 08期

关键词：

THORACOLUMBAR SPINE FRACTURE; BURST FRACTURE; NONOPERATIVE TREATMENT; RADIOGRAPHIC EVALUATION;

D O I：

10.1097/00007632-199306150-00004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Eighteen neurologically intact patients with burst fractures at the thoracolumbar junction were treated with early ambulation in a total contact orthosis. No attempt was made to reduce the associated deformity. Selection criteria excluded patients with posterior column disruption. Hospital stay averaged 10 days. Follow-up averaged 19 months. Mean kyphosis was 19 at time of injury and 20 at follow-up. At follow-up, 15 patients rated their pain as little or none. Seventeen patients had little or no restriction of activity. Follow-up computed tomography (CT) scans obtained in eight patients showed significant resorption of retropulsed bone. No deterioration of neurologic function developed, in any patient. In patients with intact posterior elements and thoracolumbar burst fractures, early mobilization in a total contact TLSO can lead to satisfactory functional results. Prolonged bed rest was not required in this series. The authors attribute the good results of nonoperative management to the exclusion of patients with posterior column disruption.

引用

页码：971 / 976

页数：6

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