Comparative Study of Instrumentation for Dorsolumbar Junction Spine Fractures
Authors/Creators
- 1. Associate Professor, Department of Orthopedics, Government Medical College, Bhavnagar, Gujarat, India
- 2. Assistant Professor, Department of Neurosurgery, Government Medical College Baroda, Gujarat, India
- 3. Senior Resident, Department of Neurosurgery, Government Medical College Baroda, Gujarat, India
- 4. Assistant Professor, Department of Neurosurgery, Government Medical College, Bhavnagar, Gujarat, India
Description
Objectives: Comparison of Results of Various Types of Instrumentations in Fractures of the Dorsolumbar Junction and Determination of the Optimum Type of Instrumentation, Type of Decompression and Type of Reconstruction for Different Types of Fractures of the Dorsolumbar Junction. Material and Methods: This was a study of 60 patients with dorsolumabar junction fractures who were treated with open reduction and internal fixation at our institute. These patients were subjected to detailed neurological examination according to the proforma. The study was conducted between 32 patients (fixed with Harrington rod Group A) and 28 (pedicle screw rod Group B) with dorsolumbar spine fractures. Results: In our study, 60% fractures occur T11 to L2. Fall from tree were the common mode of injury in rural population, while in urban area, it was due to road accident followed by fall. Fractures of spine are more common in males as compared to females. Fixation with pedicle screw rod associated fast recovery and did not need any type of brace during postop rehabilitation, complication like implant failure, infection, etc. were less in pedicle screw group. Conclusion: Although, pedicle screw fixation is technically demanding procedure, requires image intensifier facilities and implant is more costly than Harrington instrumentation, but in benefit of patient, it is better than Harrington instrumentation, but in benefit of patient, it is far better than Harrington instrumentation.
Abstract (English)
Objectives: Comparison of Results of Various Types of Instrumentations in Fractures of the Dorsolumbar Junction and Determination of the Optimum Type of Instrumentation, Type of Decompression and Type of Reconstruction for Different Types of Fractures of the Dorsolumbar Junction. Material and Methods: This was a study of 60 patients with dorsolumabar junction fractures who were treated with open reduction and internal fixation at our institute. These patients were subjected to detailed neurological examination according to the proforma. The study was conducted between 32 patients (fixed with Harrington rod Group A) and 28 (pedicle screw rod Group B) with dorsolumbar spine fractures. Results: In our study, 60% fractures occur T11 to L2. Fall from tree were the common mode of injury in rural population, while in urban area, it was due to road accident followed by fall. Fractures of spine are more common in males as compared to females. Fixation with pedicle screw rod associated fast recovery and did not need any type of brace during postop rehabilitation, complication like implant failure, infection, etc. were less in pedicle screw group. Conclusion: Although, pedicle screw fixation is technically demanding procedure, requires image intensifier facilities and implant is more costly than Harrington instrumentation, but in benefit of patient, it is better than Harrington instrumentation, but in benefit of patient, it is far better than Harrington instrumentation.
Files
IJPCR,Vol16,Issue8,Article181.pdf
Files
(318.2 kB)
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Additional details
Dates
- Accepted
-
2024-07-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue8,Article181.pdf
- Development Status
- Active
References
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