Surgical treatment of traumatic thoracolumbar fractures: a retrospective review of 101 cases.
M MuratoreS AllasiaP ViglierchioM AbbateS AleottiA MasseAlessandro BistolfiPublished in: Musculoskeletal surgery (2020)
This study confirmed the validity of the posterior approach in the surgical treatment of thoracolumbar fractures. Outcomes and complication risks are related to fracture severity. Surgical treatment can be recommended even with an AOSIS score of two or three. The combined antero-posterior approach could be useful in cases with LSC > 8, especially in the thoracolumbar region. The degree of neurological recovery depends on fracture type, location, ASIA score and presence of comorbidities. Early intervention in myelic patients allows for a better prognosis. Level of evidence III retrospective case series.