Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment
Yıl: 2020 Cilt: 26 Sayı: 5 Sayfa Aralığı: 805 - 810 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.30524 İndeks Tarihi: 04-11-2020
Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment
Öz: BACKGROUND: This study aims to compare clinical and radiographic outcomes of surgical treatment and conservative treatmentwith bracing in neurologically intact patients with score 4 of TLICS thoracolumbar vertebra fractures.METHODS: Patients with traumatic thoracolumbar junction fractures (T11-L2), the score of TLICS 4, and minimum 24-monthfollow-up were included in this study. Patients were divided into surgery and bracing groups. The groups were compared concerningclinical and demographical features, local kyphotic angles (LKA), vertebra height loss percentage (VHL), Oswestry Disability Index(ODI), Visual Analog Scale (VAS) and time to return to work.RESULTS: There were 74 patients (71 males, 3 females) in the surgery group and 76 patients (58 males, 18 females) in the bracinggroup. Although the surgery group showed better improvement in VAS scores within six months postoperatively, no significant differencewas observed at the 24th-month evaluation (p<0.001 and p=0.270, respectively). ODI, LKA and VHL were significantly lowerin the surgery group (p<0.001, p<0.001 and p<0.001, respectively). In addition, return to work was significantly earlier in the surgerygroup (p<0.001).CONCLUSION: The findings obtained in this study suggest that the surgical treatment for TLICS 4 patients with thoracolumbarfractures has better clinical and radiographic outcomes than the bracing. Moreover, returning time to the work of patients is shortenedwith surgical treatment. The surgical treatment seems to be the first and the appropriate choice in the management of TLICS 4thoracolumbar vertebral fractures.
Anahtar Kelime: Torakolomber yaralanma sınıflaması ve ciddiyet skoru 4 (TLICS = 4) olan torakolomber vertebra kırıklarının yönetimi: Cerrahi mi, konservatif tedavi mi?
Öz: AMAÇ: Torakolomber yaralanma sınıflaması ve ciddiyet skoru 4 (TLICS = 4) olan nörolojik intakt torakolomber vertebra kırıklı hastalarda cerrahi tedavi ve korse tedavisinin klinik ve radyografik sonuçlarının karşılaştırılması amaçlandı. GEREÇ VE YÖNTEM: Travmatik torakolomber kırık (T11-L2), TLICS 4 skoru ve en az 24 ay takip edilen hastalar alındı. Hastalar cerrahi ve korse gruplarına ayrıldı. Gruplar klinik ve demografik özellikler, lokal kifoz açıları (LKA), vertebra yükseklik kaybı yüzdesi (VYK), Oswestry Engellilik İndeksi (ODI), Visual Analog Skala (VAS) ve işe geri dönme süresi açısından karşılaştırıldı. BULGULAR: Cerrahi grubunda 74 hasta (71 erkek, 3 kadın), korse grubunda 76 hasta (58 erkek, 18 kadın) vardı. Cerrahi grupta ameliyat sonrası ilk altı ay içinde VAS skorlarında daha iyi olsa da 24. ayda gruplar arasında anlamlı bir fark gözlenmedi (sırasıyla, p<0.001 ve p=0.270). ODI, LKA ve VYK cerrahi grubunda anlamlı olarak düşüktü (sırasıyla, p<0.001, p<0.001 ve p<0.001). İşe geri dönüş süresi ameliyat grubunda anlamlı olarak daha kısa idi (p<0.001). TARTIŞMA: Torakolomber kırıkları olan nörolojik olarak intakt TLICS 4 hastaların cerrahi tedavisinin, korseye göre daha iyi klinik ve radyografik sonuçları olduğunu saptandı. Ayrıca, hastaların işe dönüş sürelerinin cerrahi tedavi ile kısaltıldığı gösterildi. TLICS 4 torakolomber vertebral kırıkların tedavisinde cerrahi tedavi ilk ve uygun seçenek olarak görünmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | karaali e, Ciloglu O, duramaz a, Kusvuran A, Ekiz T (2020). Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. , 805 - 810. 10.14744/tjtes.2020.30524 |
| Chicago | karaali evren,Ciloglu Osman,duramaz altuğ,Kusvuran Aslihan,Ekiz Timur Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. (2020): 805 - 810. 10.14744/tjtes.2020.30524 |
| MLA | karaali evren,Ciloglu Osman,duramaz altuğ,Kusvuran Aslihan,Ekiz Timur Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. , 2020, ss.805 - 810. 10.14744/tjtes.2020.30524 |
| AMA | karaali e,Ciloglu O,duramaz a,Kusvuran A,Ekiz T Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. . 2020; 805 - 810. 10.14744/tjtes.2020.30524 |
| Vancouver | karaali e,Ciloglu O,duramaz a,Kusvuran A,Ekiz T Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. . 2020; 805 - 810. 10.14744/tjtes.2020.30524 |
| IEEE | karaali e,Ciloglu O,duramaz a,Kusvuran A,Ekiz T "Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment." , ss.805 - 810, 2020. 10.14744/tjtes.2020.30524 |
| ISNAD | karaali, evren vd. "Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment". (2020), 805-810. https://doi.org/10.14744/tjtes.2020.30524 |
| APA | karaali e, Ciloglu O, duramaz a, Kusvuran A, Ekiz T (2020). Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. Ulusal Travma ve Acil Cerrahi Dergisi, 26(5), 805 - 810. 10.14744/tjtes.2020.30524 |
| Chicago | karaali evren,Ciloglu Osman,duramaz altuğ,Kusvuran Aslihan,Ekiz Timur Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.5 (2020): 805 - 810. 10.14744/tjtes.2020.30524 |
| MLA | karaali evren,Ciloglu Osman,duramaz altuğ,Kusvuran Aslihan,Ekiz Timur Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.5, 2020, ss.805 - 810. 10.14744/tjtes.2020.30524 |
| AMA | karaali e,Ciloglu O,duramaz a,Kusvuran A,Ekiz T Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(5): 805 - 810. 10.14744/tjtes.2020.30524 |
| Vancouver | karaali e,Ciloglu O,duramaz a,Kusvuran A,Ekiz T Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(5): 805 - 810. 10.14744/tjtes.2020.30524 |
| IEEE | karaali e,Ciloglu O,duramaz a,Kusvuran A,Ekiz T "Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.805 - 810, 2020. 10.14744/tjtes.2020.30524 |
| ISNAD | karaali, evren vd. "Management of thoracolumbar injury classification and severity score of 4 (TLICS=4) thoracolumbar vertebra fractures: Surgery versus conservative treatment". Ulusal Travma ve Acil Cerrahi Dergisi 26/5 (2020), 805-810. https://doi.org/10.14744/tjtes.2020.30524 |
