Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Ozcan Kocanli; Baran Komur; Tahir Mutlu Duymuş; Bulent Guclu; Barış Yılmaz; Erhan Sesli

doi:10.1016/j.jor.2016.06.021

Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

J Orthop. 2016 Jul 2;13(4):301-5. doi: 10.1016/j.jor.2016.06.021. eCollection 2016 Dec.

Authors

Ozcan Kocanli¹, Baran Komur², Tahir Mutlu Duymuş², Bulent Guclu³, Barış Yılmaz⁴, Erhan Sesli⁵

Affiliations

¹ Orthopedics and Traumatology Clinic, Private Anatolia Hospital, Antalya, Turkey.
² Orthopedics and Traumatology Clinic, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
³ Neurosurgery Clinic, Ministry of Health Kartal Research and Training Hospital, Kartal, Istanbul, Turkey.
⁴ Orthopedics and Traumatology Clinic, Fatih Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
⁵ Orthopedics and Traumatology Clinic, Private Sifa Hospital, İzmir, Turkey.

Abstract

Background: This retrospective study aims to present and evaluate the long follow-up results of posterior instrumentation without fusion in patients with traumatic thoracic and lumbar fractures.

Methods: 45 patients were operated. The mean follow-up period was 147.6 months. Sagittal plane kyphosis (SPK) and anterior wedge angle (AWA) were evaluated in preoperative and follow-up.

Results: SPK and AWA improved significantly in the early postoperative. However, the correction was lost in the 10-year follow-up. The loss of correction was statistically significant in SPK and AWA.

Conclusion: Posterior instrumentation without fusion is still among the most useful in treatment of traumatic thoracolumbar fractures.

Keywords: Lumbar vertebrae; Outcome assessment; Spinal fractures; Thoracic vertebrae.