Journal of Musculoskeletal Trauma

Original Articles

Treatment of Thoraco-Lumbar Bursting Fractures According to Load-Sharing Classification: Chung Hwan Kim, Jae Kwang Hwang, Young Joon Choi, Kyoung Hwan Kim, Jeong Suk Song, Jeong Ho Kang; J Korean Fract Soc 2005;18(1):69-75. Published online January 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.1.69

PURPOSE
To determine optimal levels of posterior fixation in thoraco-lumbar bursting fractures according to the Load-sharing classification.
MATERIALS AND METHODS
From Aug. 1999 to Aug. 2003, 50 patients who had been operated with the posterior fixation in one-body thoraco-lumbar bursting fracture were selected. They were divided into two groups, group I, 6 points and below in the Load-sharing score and group II, 7 points and above. And also, each groups subdivided into two subgroups, A (short segment fixation including below and above one body) and B (long segment fixation including below and upper two body). So patients subdivided into I-A, I-B, II-A, II-B. Change of the corrected kyphotic angle was measured and compared with each subgroups.
RESULTS
The loss of the corrected kyphotic angle was measured average 1.7degrees in group I and 4.1degrees in group II, and there was significant difference between two groups (p>0.05). The loss of the corrected kyphotic angle in the subgroups was average 1.8degrees in I-A, 1.6degrees in I-B, 3.5degrees in II-A and 4.9degrees in II-B. And there was significant difference statistically in I-A and II-A (p>0.05).
CONCLUSION
In the thoraco-lumbar bursting fracture with 6 points and below of the Load-sharing score, the fixation of the short segment is a useful method. But in the fracture with 7 points and above, the fixation of the short segment is not enough, and these findings be required the further evaluation for some cause of the loss of corrected angle and treatment modalities including the fixation of the long segment.

Citations

Citations to this article as recorded by

Surgical Techniques for Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations
Salman Sharif, Yousuf Shaikh, Onur Yaman, Mehmet Zileli
Neurospine.2021; 18(4): 667. CrossRef
Analysis of Factors Affecting Postoperative Loss of Reduction in Unstable Thoracolumbar Fractures
Jaewan Soh, Chang-Hwa Hong, Chung-Won Bang, Jae Chul Lee, Byung-Joon Shin
Journal of Korean Society of Spine Surgery.2017; 24(3): 190. CrossRef
Analysis of Factors Affecting Postoperative Loss of Reduction in Unstable Thoracolumbar Fractures
Jaewan Soh, Chang-Hwa Hong, Chung-Won Bang, Jae Chul Lee, Byung-Joon Shin
Journal of Korean Society of Spine Surgery.2017; 24(3): 190. CrossRef
More than 5-Year Follow-up Results of Two-Level and Three-Level Posterior Fixations of Thoracolumbar Burst Fractures with Load-Sharing Scores of Seven and Eight Points
Sub-Ri Park, Hwa-Yeop Na, Jung-Mook Kim, Dong-Chan Eun, Eui-Young Son
Clinics in Orthopedic Surgery.2016; 8(1): 71. CrossRef
The Outcomes of Short and Long Segment Posterior Instrumentation of Thoracolumbar Burst Fractures with a Load Sharing Score of 7 or More
Jeong Ho Seo, Kyu Yeol Lee
Journal of Korean Society of Spine Surgery.2015; 22(3): 92. CrossRef
Comparison of Short Segment and Long Segment Posterior Instrumentation of Thoracolumbar and Lumbar Bursting Fractures at Load Sharing Score 7 or Above
Hwa-Yeop Na, Young-Sang Lee, Joon-Cheol Choi, Woo-Seong Kim, Woo-Suk Song, Yu-Hun Jung, Tae-Hoon Park, Tae-Hwan Kim, Kang-Won Seo
Journal of Korean Society of Spine Surgery.2013; 20(2): 44. CrossRef
The Impact on Clinical Results by Sagittal Imbalance in Posterior Fixation for Thoraco-lumbar Burst Fractures
Seung-Wook Baek, Kyu-Dong Shim, Ye-Soo Park
Journal of the Korean Fracture Society.2011; 24(4): 354. CrossRef
Change of Kyphotic Angle in Posterior Pedicle Screw Fixation for Thoracic and Lumbar Burst Fractures: Comparison Study by the Screw Fixation Level
Jeong-Gook Seo, Jong-Ho Park, Jeong-Seok Moon, Woo-Chun Lee
Journal of the Korean Fracture Society.2009; 22(1): 39. CrossRef

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The Comparision of Conservative Treatment with Operative Treatment in Bursting fracture: Chung Nam Kang, Jong Oh Kim, Oh Yong Kang, Seung Youn Ahn; J Korean Soc Fract 1995;8(4):807-814. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.807

Abstract PDF

Internal fixation with dynamic compression plate is an accepted method of treating diaphyseal The treatment of stable bursting fracture of thoracolumbar spine has long been controversal and middle column theory has been known important factor to determine fracture stability, following to "Three column theroy" by Denis & McAfee in 1983. We have analyBed kyphotic angle and compression degree, each 7 cases of thoracolumbar stable bursting fracture, treated consertive or operative, from Oct. 1993 to Dec. 1994. We obtained following results; 1. The correction of kyphotic angle was more increased in the average 12 in conservative treatment and decreased in the average 8.3 in operative treatment than admission date. 2. The correction of compression degree was more increased in the average 30% in conservative treatment and decreased in the average 18% in operative treatment. 3. More severe deformity was noted in the active young adult rather than old age. 4. MRI study and bending stress view are needed in the detect of the posterior column injury. In summary, more severe deformity was noted not only in the adult, but in the conservative treatment. Thus, we must consider the operative treatment in active young adult in cases of stable bursting fracture.

Citations

Citations to this article as recorded by

The Impact on Clinical Results by Sagittal Imbalance in Posterior Fixation for Thoraco-lumbar Burst Fractures
Seung-Wook Baek, Kyu-Dong Shim, Ye-Soo Park
Journal of the Korean Fracture Society.2011; 24(4): 354. CrossRef
Biomechanical Efficacy of Various Anterior Spinal Fixation in Treatment of Thoraco-lumbar Spine Fracture
Ye-Soo Park, Hyoung-Jin Kim, Choong-Hyeok Choi, Won-Man Park, Yoon-Hyuk Kim
Journal of the Korean Fracture Society.2007; 20(1): 70. CrossRef

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