Assessment of Clinical and Radiological of Interbody Fusion and Short Segment Fixation in Dorso-Lumbar Fractures at Zagazig University hospital.
Background:Thoracolumbar fractures represents nearby 70% of all traumatic spine fractures.There is several classification systems of traumatic thoracolumbar fractures aiming to provide an accepted treatment algorithm in such cases. Surgical treatment has demonstrated better clinical and radiological results than conservative treatment.The aim was to assess the outcome (Clinical and Radiological)of short segment fixation with interbody fusion in dorsolumbar fractures.Methods:This study was conducted at the neurosurgery department at Zagazig University hospitals and included 16 cases with thoracolumbar fractures treated by short segment open transpedicular posterior fixation with interbody fusion.Results:The most prevalent AO spine type of fracture was A3 fracture where it constituted 62.5% of patients, the level of fracture was L2 in 50 % of patients & about 38% had severe pain as reported on VAS score. In our Study there was significant change in ASIA score 12 weeks postoperatively. While 62.5% had E score preoperatively, 87.5% had it 12 weeks postoperatively and 12.5% turned had score C 12 weeks preoperatively versus no one postoperatively had C ASIA score. There is statistically significant change in Cobb’s angle score at 3 days and 12 weeks postoperatively as compared to preoperative Cobb’s angle. Preoperatively, mean angle was 22.25 which significantly decreased to 6.5 then increased to 9.5 with significant fluctuation over time. All the studied patients had no intraoperative or early complications. Conclusion: Surgical treatment of thoracic and lumbar fractures allows for immediate stabilization of the spine, restoration of sagittal alignment, and the possibility of spinal canal decompression.