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THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE
Objectives: To assess the relationship between sagittal collapse, posterior instrumentation failure and the McCormack classification among patients with thoracolumbar burst fractures who had undergone posterior arthrodesis more than one level above and one level below the fracture. Methods: This was...
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/PMC4799079/ https://www.ncbi.nlm.nih.gov/pubmed/27022547 http://dx.doi.org/10.1016/S2255-4971(15)30363-3 |
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author | Avanzi, Osmar Landim, Elcio Meves, Robert Caffaro, Maria Fernanda de Albuquerque Araujo Luyten, Felipe Faria, Antonio Alexandre |
author_facet | Avanzi, Osmar Landim, Elcio Meves, Robert Caffaro, Maria Fernanda de Albuquerque Araujo Luyten, Felipe Faria, Antonio Alexandre |
author_sort | Avanzi, Osmar |
collection | PubMed |
description | Objectives: To assess the relationship between sagittal collapse, posterior instrumentation failure and the McCormack classification among patients with thoracolumbar burst fractures who had undergone posterior arthrodesis more than one level above and one level below the fracture. Methods: This was a retrospective review based on the medical records and radiographs of 26 patients who underwent operations between January 1990 and December 2006. The parameters assessed were: worsening of kyphosis (Cobb), neurological dysfunction (Frankel) and failure of surgical treatment (implant breakage or loosening). Results: No relationship was found between sagittal collapse and the scoring in the McCormack classification (r = 0.221; P = 0.322). There was also no relationship between failure of the posterior implant and the scoring in this classification (p = 0.85). Conclusion: Our findings suggest that this classification is not applicable to patients who underwent arthrodesis more than one level above and one level below the fracture. |
format | Online Article Text |
id | pubmed-4799079 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-47990792016-03-28 THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE Avanzi, Osmar Landim, Elcio Meves, Robert Caffaro, Maria Fernanda de Albuquerque Araujo Luyten, Felipe Faria, Antonio Alexandre Rev Bras Ortop Original Article Objectives: To assess the relationship between sagittal collapse, posterior instrumentation failure and the McCormack classification among patients with thoracolumbar burst fractures who had undergone posterior arthrodesis more than one level above and one level below the fracture. Methods: This was a retrospective review based on the medical records and radiographs of 26 patients who underwent operations between January 1990 and December 2006. The parameters assessed were: worsening of kyphosis (Cobb), neurological dysfunction (Frankel) and failure of surgical treatment (implant breakage or loosening). Results: No relationship was found between sagittal collapse and the scoring in the McCormack classification (r = 0.221; P = 0.322). There was also no relationship between failure of the posterior implant and the scoring in this classification (p = 0.85). Conclusion: Our findings suggest that this classification is not applicable to patients who underwent arthrodesis more than one level above and one level below the fracture. Elsevier 2015-11-17 /pmc/articles/PMC4799079/ /pubmed/27022547 http://dx.doi.org/10.1016/S2255-4971(15)30363-3 Text en © 2010 Sociedade Brasileira de Ortopedia e Traumatologia 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 Article Avanzi, Osmar Landim, Elcio Meves, Robert Caffaro, Maria Fernanda de Albuquerque Araujo Luyten, Felipe Faria, Antonio Alexandre THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE |
title | THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE |
title_full | THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE |
title_fullStr | THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE |
title_full_unstemmed | THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE |
title_short | THORACOLUMBAR BURST FRACTURE: LOAD SHARING CLASSIFICATION AND POSTERIOR INSTRUMENTATION FAILURE |
title_sort | thoracolumbar burst fracture: load sharing classification and posterior instrumentation failure |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799079/ https://www.ncbi.nlm.nih.gov/pubmed/27022547 http://dx.doi.org/10.1016/S2255-4971(15)30363-3 |
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