South Clin Ist Euras. 2024; 35(3): 293-297 | DOI: 10.14744/scie.2024.21549

Management of Thoracolumbar Fracture Dislocation Resulting from High Energy Trauma: Clinical Case Series

Ali Börekçi¹, Pinar Kuru Bektaþoðlu¹, Julide Hazneci¹, Ali Fatih Ramazanoðlu², Erhan Celikoðlu^1
1Department of Neurosurgery, University of Health Sciences, Fatih Sultan Mehmet Education and Re-search Hospital, Istanbul, Türkiye
²Department of Neurosurgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Türkiye

INTRODUCTION: Thoracolumbar fracture dislocations are important cause of morbidity in patients with a history of accidents causes high energy trauma. In this type of spinal trauma, all three columns of the spine affect due to high-energy and may cause serious neurological deficits. There is two major surgical options when stabilization is indicated. Short segment and long segment stabilization options have their own advantages and disadvantages. In this brief report we will present the outcomes of our case series with thoracolumbar fracture dislocations that were managed with long segment stabilization. In our case series, neurological recovery was achieved in 4 of 6 patients to whom we applied emergency surgical treatment within 8 hours. We showed that reduction, stabilization and decompression performed with emergency surgical treatment had positive effects on the neurological recovery of patients.
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DISCUSSION AND CONCLUSION:

Keywords: Spinal trauma, surgical management; thoracolumbar fracture dislocation.

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Yüksek Enerjili Travma Sonucu Oluþan Torakolomber Kýrýklý Çýkýklarýn Yönetimi: Klinik Vaka Serisi

Ali Börekçi¹, Pinar Kuru Bektaþoðlu¹, Julide Hazneci¹, Ali Fatih Ramazanoðlu², Erhan Celikoðlu^1
1
2

GÝRÝÞ ve AMAÇ: Torakolomber kýrýklý çýkýklar, yüksek enerjili travmaya neden olan kaza öyküsü olan hastalarda önemli bir morbidite nedenidir. Bu tür omurga travmalarýnda omurganýn üç sütunu da yüksek enerji nedeniyle etkilenir ve ciddi nörolojik defisitlere neden olabilir. Stabilizasyon endike olduðunda iki ana cerrahi seçenek vardýr. Kýsa segment ve uzun segment stabilizasyon seçeneklerinin kendilerine göre avantaj ve dezavantajlarý bulunmaktadýr. Bu raporda uzun segment stabilizasyonu ile tedavi edilen torakolomber kýrýklý çýkýklý olgu serimizin sonuçlarýný sunacaðýz. Olgu serimizde acil cerrahi tedavi uyguladýðýmýz 6 hastanýn 4’ünde 8 saat içinde nörolojik iyileþme saðlandý. Acil cerrahi tedavi ile yapýlan redüksiyon, stabilizasyon ve dekompresyonun hastalarýn nörolojik iyileþmesi üzerine olumlu etkileri olduðunu gösterdik.
YÖNTEM ve GEREÇLER:
BULGULAR:
TARTIÞMA ve SONUÇ:

Anahtar Kelimeler: Cerrahi tedavi, spinal travma; torakolomber kýrýklý çýkýk.

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