Surgical Treatment of Fractures of the Dorso-lombar Spine

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rare The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads ly the vital prognosis

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Key information

Conditions

Spine Fracture Back Injuries Fractures, Bone Spinal Fractures Spinal Injuries Wounds and Injuries

Sex eligibility

All sexes

Study type

Observational

Primary location

IBN jazzar hospital

Kairouan, 3190, Tunisia

About this study

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rarely the vital prognosis .

The thoracolumbar spine has an extended transition zone between the tenth thoracic vertebra (T10) and the second lumbar vertebra (L2): the thoracolumbar hinge which, given its particular anatomical situation between a poorly mobile thoracic segment and a dynamic lumbar segment, is the predilection for occurrence of fractures and dislocations .

The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads.

The analysis of the lesion mechanism and its consequences depends on the understanding of the classification of these lesions which are essential for therapeutic conduct .

Surgical treatment constitutes a key element in the management strategy for these fractures

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

the files of patients hospitalized for a recent fracture of the thoracolumbar spine within 12 months

Exclusion criteria

Files with insufficient follow-up, patients lost to follow-up. patients presenting: A pathological fracture. Osteoporotic collapse. Material and Methods 3 Staged trauma to the spine. A fracture due to ankylosing spondylitis

Treatment and study plan

Osteosynthesis

Procedure

Some patients had osteosynthesis using a long construct, others had osteosynthesis using a short construct. Short constructs designated constructs only taking one level above and one level below the injury level (the fractured vertebra was not always included in the construct). The montages taking more than one level above or below the lesion were considered to be a long montage. Osteosynthesis is carried out using Cotrel Dubousset type rods and screws.

Other names: Release gestures, Arthrodesis, First approach

Primary outcomes

Age (in years)

Time frame: from enrollment to the end of treatment at 4 years

average age of our patients was 38.25 years with extremes of 16 years and 68 years
Sex

Time frame: from enrollment to the end of treatment at 4 years

Our series is characterized by a significant male predominance, it included 47 men (58.75%) and 33 women (41.25%), with a sex ratio of 1.42
Neurological status ( Frenkel classification)

Time frame: from enrollment to the end of treatment at 4 years

3 Frankel A patients, 1 Frankel B patient, 6 Frankel C patients and 6 Frankel D

Sponsors and collaborators

Lead sponsor

Ibn Jazzar Hospital

Other

Registry information

Important dates

Study start: 2018
Primary completion: 2022
Study completion: 2022
First posted: Apr 18, 2024
Registry last updated: Apr 18, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed