Short vs long segment fixation of dorsolumbar burst fracture

Abstract

The thoracic and lumbar areas account for over 90% of all traumatic spine injuries. The thoracolumbar region, located between the more stiff thoracic and the more flexible lumbar spines, is especially vulnerable to injury.o injury. The purpose of this research was to foresee the long-term effects of these fixations on patients in terms of pain, deformity, motor deficit, and handicap, as well as to identify the functional stability of the vertebral column following fixation. Twenty people participated in our research. Patients had their histories taken, were examined physically and neurologically, and had imaging studies such x-rays and CT scans of the spine and MRIs of the spine performed if needed. What we learn from the research is, Group A had a mean age of 34.8 while Group B had a mean age of 30.10. Males were impacted more severely than females. The thoracolumbar spine is the most often broken in falls from height, followed by car accidents (RTA). Most patients just had thoracolumbar fractures and no other concomitant injuries. On admission, L1 and L3 levels were the most prevalent neurological findings (30%), followed by L2 levels (50%). (25 percent ). Clinically stable thoracolumbar spine fractures often presented with back discomfort at first.. No neurological deficit was reported in group A compared to 30% in group B. The median cobb's angle in group A was 9, ranging from 4 to 18, while in group B, the median cob's angle was 12, ranging from 2 to 35. About 85% of patients had minimal disability during follow up. The long segment and short segment fixation of thoracolumbar burst fractures are both applicable, reproducible techniques of surgical management with similar comparable results regarding postoperative pain rehabilitation, spinal mobility and cobbs angle. But long segment fixation gives more stability specially in multilevel fractures with minimal acceptable sacrifice of spine mobility.