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2004, Number 2

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Acta Med 2004; 2 (2)

Complications of Thoracolumbar Fractures Treated Via Anterior approach

Reyes-Sánchez A, Magadán SJC, Rosales OLM, Miramontes MV, Alpízar AA

Language: Spanish
References: 24
Page: 99-105
PDF size: 69.32 Kb.


ABSTRACT

Objectives: To determine incidence and type of complications present in the anterior-approach thoracolumbar fracture treatment method. Methods: We conducted a review of the literature in English on the subject from 1980-2001 and selected 18 articles, from which we made up three groups: Group I, anterior decompression treatment, graft, and fixation with plates and stitches; Group II, anterior decompression, graft, and fixation with a rod, and Group III, anterior decompression and fixation with double rod and with crosslink. For statistics, we employed chi-square, 95% confidence interval (95% CI), and size of effect. Results: In Group I, there were nine cases of pseudoarthrosis (5%) and 19 patients with other complications (10.61%) among a total of 179 patients; in Group II, there were two cases of pseudoarthrosis (3.70%) and 12 patients (22.22%) with other complications among a total of 54 patients, and in Group III there were 29 cases of pseudoarthrosis (6.2%) and 52 cases with complications among a total of 468 patients. No statistical significance existed for the groups compared. Conclusions: There was no significant difference between implant use and complications found. A more complete evaluation table should be established to evaluate this type of injury and treatment results.


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