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Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients?
OBJECTIVE: The purpose of this study was to research the effectiveness of conservative treatment of stable post-traumatic thoracolumbar vertebral fractures in elderly patients. METHODS: The study included 21 elderly patients (13 females, 8 males) with post-traumatic thoracolumbar compression fractur...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600942/ https://www.ncbi.nlm.nih.gov/pubmed/26566438 http://dx.doi.org/10.1016/j.amsu.2015.08.009 |
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author | Cankaya, Deniz Yilmaz, Serdar Deveci, Alper Dundar, Abdurrahim Yoldas, Burak Toprak, Ali Tabak, Yalcın |
author_facet | Cankaya, Deniz Yilmaz, Serdar Deveci, Alper Dundar, Abdurrahim Yoldas, Burak Toprak, Ali Tabak, Yalcın |
author_sort | Cankaya, Deniz |
collection | PubMed |
description | OBJECTIVE: The purpose of this study was to research the effectiveness of conservative treatment of stable post-traumatic thoracolumbar vertebral fractures in elderly patients. METHODS: The study included 21 elderly patients (13 females, 8 males) with post-traumatic thoracolumbar compression fracture who were treated with a brace. Fractures without any trauma history, pathological fractures, patients younger than 60 years old and patients with no malignancy history were excluded from study. Neurological examination and posterior ligamentous complex (PLC) were intact in all patients. Radiological parameters and pain scores were recorded in regular follow-up. RESULTS: The mean age and follow-up were 71.3 years (range, 60–84 years) and 20.1 months (range, 12–26 months) respectively. During follow-up, 4 patients had significant height loss resulting in kyphotic deformity and intractable pain. There was a significant increase in the local kyphosis angle (p = 0.001) and height loss percentage (p = 0.017). At the final follow-up, the mean Denis Score of pain was 1.62 ± 0.74. CONCLUSION: Although there is wide acceptance of conservative treatment of post-traumatic stable thoracolumbar fracture with intact PCL according to the Thoracolumbar Injury Classification and Severity Score (TLICS), elderly female patients with a post-traumatic compression fracture in the junctional region are at great risk of conservative treatment failure. These patients should be well-informed about the possible complications and poor results of conservative treatment, and surgical treatment should be considered in selective cases with the informed consent of the patients. |
format | Online Article Text |
id | pubmed-4600942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-46009422015-11-12 Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? Cankaya, Deniz Yilmaz, Serdar Deveci, Alper Dundar, Abdurrahim Yoldas, Burak Toprak, Ali Tabak, Yalcın Ann Med Surg (Lond) Original Research OBJECTIVE: The purpose of this study was to research the effectiveness of conservative treatment of stable post-traumatic thoracolumbar vertebral fractures in elderly patients. METHODS: The study included 21 elderly patients (13 females, 8 males) with post-traumatic thoracolumbar compression fracture who were treated with a brace. Fractures without any trauma history, pathological fractures, patients younger than 60 years old and patients with no malignancy history were excluded from study. Neurological examination and posterior ligamentous complex (PLC) were intact in all patients. Radiological parameters and pain scores were recorded in regular follow-up. RESULTS: The mean age and follow-up were 71.3 years (range, 60–84 years) and 20.1 months (range, 12–26 months) respectively. During follow-up, 4 patients had significant height loss resulting in kyphotic deformity and intractable pain. There was a significant increase in the local kyphosis angle (p = 0.001) and height loss percentage (p = 0.017). At the final follow-up, the mean Denis Score of pain was 1.62 ± 0.74. CONCLUSION: Although there is wide acceptance of conservative treatment of post-traumatic stable thoracolumbar fracture with intact PCL according to the Thoracolumbar Injury Classification and Severity Score (TLICS), elderly female patients with a post-traumatic compression fracture in the junctional region are at great risk of conservative treatment failure. These patients should be well-informed about the possible complications and poor results of conservative treatment, and surgical treatment should be considered in selective cases with the informed consent of the patients. Elsevier 2015-09-04 /pmc/articles/PMC4600942/ /pubmed/26566438 http://dx.doi.org/10.1016/j.amsu.2015.08.009 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Cankaya, Deniz Yilmaz, Serdar Deveci, Alper Dundar, Abdurrahim Yoldas, Burak Toprak, Ali Tabak, Yalcın Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? |
title | Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? |
title_full | Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? |
title_fullStr | Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? |
title_full_unstemmed | Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? |
title_short | Clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: Is it really best option for all elderly patients? |
title_sort | clinical and radiological outcomes of conservative treatment after stable post-traumatic thoracolumbar fractures in elderly: is it really best option for all elderly patients? |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600942/ https://www.ncbi.nlm.nih.gov/pubmed/26566438 http://dx.doi.org/10.1016/j.amsu.2015.08.009 |
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