Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Spinal canal remodeling after thoracolumbar fractures with intraspinal bone fragments : 17 cases followed 1-4 years

Johnsson, Ragnar LU ; Herrlin, Kristian ; Hägglund, Gunnar LU and Strömgvist, Björn (1991) In Acta Orthopaedica 62(2). p.125-127
Abstract

The long-term fate of nonreduced intraspinal bone fragments in 17 thoracolumbar fractures - three not operated on and 14 stabilized with Harrington's rods or a Hartshill rectangle - was studied with CT. the reduction of the spinal canal area was measured in conjunction with the trauma in the nonoperated on cases and immediately after surgery in the other cases. the mean reduction was 29 (10-70) percent. the reduction had decreased to 14 (0-30) percent at the follow-up examination 31 (12-44) months later. the restitution of the spinal canal did not differ in the nonoperated and operated on patients. Our findings indicate that stable thoracolumbar fractures with intraspinal bone fragments, but without neurologic symptoms, can be treated... (More)

The long-term fate of nonreduced intraspinal bone fragments in 17 thoracolumbar fractures - three not operated on and 14 stabilized with Harrington's rods or a Hartshill rectangle - was studied with CT. the reduction of the spinal canal area was measured in conjunction with the trauma in the nonoperated on cases and immediately after surgery in the other cases. the mean reduction was 29 (10-70) percent. the reduction had decreased to 14 (0-30) percent at the follow-up examination 31 (12-44) months later. the restitution of the spinal canal did not differ in the nonoperated and operated on patients. Our findings indicate that stable thoracolumbar fractures with intraspinal bone fragments, but without neurologic symptoms, can be treated nonoperatively, irrespective of the size of the fragment, without risk of subsequent symptomatic neural compression.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
publishing date
type
Contribution to journal
publication status
published
in
Acta Orthopaedica
volume
62
issue
2
pages
3 pages
publisher
Taylor & Francis
external identifiers
  • pmid:2014721
  • scopus:0025971379
ISSN
1745-3674
DOI
10.3109/17453679108999238
language
English
LU publication?
no
id
ffdf287d-7332-4611-9d15-1262233ef455
date added to LUP
2019-06-25 09:54:42
date last changed
2024-01-01 12:51:57
@article{ffdf287d-7332-4611-9d15-1262233ef455,
  abstract     = {{<p>The long-term fate of nonreduced intraspinal bone fragments in 17 thoracolumbar fractures - three not operated on and 14 stabilized with Harrington's rods or a Hartshill rectangle - was studied with CT. the reduction of the spinal canal area was measured in conjunction with the trauma in the nonoperated on cases and immediately after surgery in the other cases. the mean reduction was 29 (10-70) percent. the reduction had decreased to 14 (0-30) percent at the follow-up examination 31 (12-44) months later. the restitution of the spinal canal did not differ in the nonoperated and operated on patients. Our findings indicate that stable thoracolumbar fractures with intraspinal bone fragments, but without neurologic symptoms, can be treated nonoperatively, irrespective of the size of the fragment, without risk of subsequent symptomatic neural compression.</p>}},
  author       = {{Johnsson, Ragnar and Herrlin, Kristian and Hägglund, Gunnar and Strömgvist, Björn}},
  issn         = {{1745-3674}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{2}},
  pages        = {{125--127}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Orthopaedica}},
  title        = {{Spinal canal remodeling after thoracolumbar fractures with intraspinal bone fragments : 17 cases followed 1-4 years}},
  url          = {{http://dx.doi.org/10.3109/17453679108999238}},
  doi          = {{10.3109/17453679108999238}},
  volume       = {{62}},
  year         = {{1991}},
}