Serviços Personalizados
Journal
Artigo
Espanhol (pdf)
Artigo em XML
Referências do artigo
Tradução automática
Enviar este artigo por emailIndicadores
Citado por SciELO 
Acessos
Links relacionados
Similares em
SciELO
Compartilhar
Permalink
Acta ortopédica mexicana
versão impressa ISSN 2306-4102
Resumo
CRISTIANI-WINER, M; NICOLAS-ORTIZ, P e OROSCO-FALCONE, D. Thoracolumbar trauma: in situ fixation vs decompression and fixation in neurologically involved burst fractures. Acta ortop. mex [online]. 2021, vol.35, n.5, pp.453-456. Epub 22-Ago-2022. ISSN 2306-4102. https://doi.org/10.35366/104573.
Thoracolumbar burst fractures are a great challenge for spine surgeons and that is why the aim of this study was to perform a systematic review analyzing the current literature regarding the different factors to take into account in their management.
Material and methods:
Systematic search in PubMed, Cochrane, MedlinePlus sites. «Thoracolumbar Burst Fractures» were the keywords. Titles, abstracts and full text were analyzed from two independent observers.
Results:
Six studies were included, five (83.33%) were prospective cohort studies and only one (16.67%) was retrospective. There were a total of 289 patients among all samples. The mean age was 38.48 years and the sex ratio was male to female of 1.7:1.
Conclusion:
Thoracolumbar burst fractures remain controversial in their treatment with published literature of low level of evidence and without establishing a consensus at the time of decision making with different options depending on the surgeon’s experience and preference. However, most of them are inclined towards treatment with short segment posterior fixation but without long-term follow-up. Regarding neurological deficit, surgical decompression achieved consensus among all surgeons.
Palavras-chave : Fractures; thoracolumbar; treatment; review; evidence.
