Functional spine analysis at surgical treatment of burst fractures of thoracic and lumbar spine

Authors

  • Volodymyr Radchenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0001-5949-0882
  • Konstantin Popsuishapka Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0002-8552-7287
  • Sergii Teslenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI:

https://doi.org/10.15674/0030-5987201825-12

Keywords:

vertebrae segment trauma, local kyphotic deformity, spine-pelvic balance, surgical treatment

Abstract

Burst fracture — is traumatic injury under the influence of high-energy axial compression which results multifragmentary vertebrae fracture with penetration of bone fragments into spine canal and paravertebral tissues.

Objective: to analyze the magnitude of kyphotic deformity and indexes of sagittal spine balance after surgical treatment of burst fractures.

Methods: retrospective study was made of 99 case histories. Criteria of inclusion were: incomplete burst (type А3.1) and incomplete split burst fracture (А3.2), complete burst fracture (type А3.3), vertebrae body with destruction (АВ) and rotation (АС). All patients were divided into 4 groups: I (17 patients) — transpedicular fixation with six screws; II (55) — posterior fixation with eight screws; III (22) — anterior-posterior combined spinal 360° fusion; IV (5) — tree column reconstruction from posterior approach.

Results: fixation with six screws was used mostly in patients with type A3.1 fractures, it allowed us to correct kyphotic deformity in average 8.4º ± 6.5º and provide stable osteosynthesis. In patients of II group the magnitude of kyphotic deformity after trauma was 16.4º ± 6.9º, the average magnitude of its correction was 12.6º ± 7.0º. In the III group of patients this index was 18.3º ± 9.7º, and in the IV — 18.67º ± 2.08º.

Conclusions: The choice of method of fixation depends on the morphology of injury. Totally surgical treatment of burst fractures can provide preservation of sagittal vertical axis. Usage of eight screws fixation and combined anterior and posterior spine 360° fusion is the most effective for deformity correction.

Author Biographies

Volodymyr Radchenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopaedics 

 

Konstantin Popsuishapka, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopaedics 

 

Sergii Teslenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

 

 

References

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How to Cite

Radchenko, V., Popsuishapka, K., & Teslenko, S. (2023). Functional spine analysis at surgical treatment of burst fractures of thoracic and lumbar spine. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 5–12. https://doi.org/10.15674/0030-5987201825-12

Issue

No. 2 (2018)

Section

ORIGINAL ARTICLES

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Copyright (c) 2018 Volodymyr Radchenko, Konstantin Popsuishapka, Sergii Teslenko

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