Evaluation of the Functional Outcome of Thoraco-Lumbar Burst Fractures Stabilization By Pedical Screw and Rod.

Abstract

Thoraco-lumbar burst fractures are a type of spinal injury that typically result from high-energy trauma. These fractures involve compression of the vertebral body with posterior displacement of bone fragments into the spinal canal. Treatment typically involves surgical stabilization with pedicle screw and rod instrumentation. The aim of the study was to evaluate the results of thoracolumbar burst fractures with incomplete neurological lesion stabilized by pedicle screw and rod. This was a prospective experimental study carried out at Bangladesh Medical University, Dhaka, Bangladesh from January 2019 to December 2019. A total of 15 patients with Thoraco-Lumbar Burst fracture aged over 15 years were included in the study. A detailed history of the selected patient was taken with mode of injury, time of injury, other history, then thorough general, local, neurological examination for proper assessment. Among the 15 cases, 12 cases (80.0%) were male and 3 cases (20.0%) were female. The age range of patient was from 17 55 years. Most commonly affected people were laborers 5(33.33%). Fall from height was the commonest cause of injury 11(73.30%). Most commonly level of injury was L1 07 (46.70%). Pedicle screw and rod used in all cases for long segment reconstruction above and below the involved level. According to Frankel grade preoperatively most common grade was C 10 and next common was B 5. Post operatively most was D 9 and next was E 4 and C-2. According to Denis et al pain scale most commonly 8 (53.34%) cases complain no pain and work scale most commonly 2(13.33%) cases were completely well and can perform normal work up to latest follow-up. Mean hospital stay was (13.27±3.54) days (10 20) days. Satisfactory results (excellent and good) were in 13(86.66%), fair 1(6.67%) and 1(6.67%) unsatisfactory (poor) results. The results of the study demonstrates that functional outcome of Thoraco-Lumbar burst fractures stabilization by pedicle screw and rod is an effective procedure.