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Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation

Year 1992, Volume: 26 Issue: 2, 85 - 88, 11.09.2006

Abstract

This study reviews 13 unstable spinal fractures, which were stabilized with the Cotrel-Oubousset instrumentation, at the Ankara University Ibn-i Sina Hospital between Nowember 1989 and July 1991. AII fractures were considered ''unstable'' according to Denis “three column spine concept” and 10 of them involved middle and posterior columns, 3 of them anterior, middle and posterior columns. The age at operation ranged from 19 to 64 years with an average of 38.6 years. The average follow-up period was 7.1 months (2-18- months). All patients were evaluated both radiographically and clinically. The average local kyphosis angle was 30.7° preoperatively, and 20.7° postoperatively (32% improvement). The average correction Ioss was 2.5°. The average anterior vertebral body height improved from 49 % to 58 % and the average posterior vertebral height from 79% to 86%. A postoperative improvement of one step in the "Frankel classification" occured in 2 patients. Complications included 1 exitus, due to ARDS and 1 deep infection, treated with surgical drainage and appropriate antibiotic therapy. As Cotrel-Oubousset instrumentation achieves stable osteosynthesis in unstable fractures of the spine, and shortens the time of ambulation and hospitalization, it is an important alternative in this section

İnstabil vertebra kırıklarının Cotrel-Dubousset instrumantasyonu ile tedavisi

Year 1992, Volume: 26 Issue: 2, 85 - 88, 11.09.2006

Abstract

Bu çalışmada Ankara Üniversitesi İbn-i Sina Hastanesinde Kasım 1989- Temmuz 1991 tarihleri arasında Cotrel-Dubousset instrumantasyonu ile stabilize edilen 13 instabil vertebra kırığı incelendi. Tüm kırıklar ''Denis'in 3 kolon teorisine'' göre instabil olarak kabul edildi. Bu kırıkların 1 0 tanesi ''orta ve arka kolonu'', 3 tanesi de "tüm kolonları" içermekteydi. Ortalama yaş 38.6 (19-64), ortalama takip süresi 7.1 aydı (2-18 ay). Tüm hastalar radyolojik ve klinik olarak değerlendirildi. Ortalama Iokal kifoz açısı preoperatif 30.7'', postoperatif 20.7'' idi ve ortalama %32 düzelme sağlandı. Ortalama korreksiyon kaybı 2.5'' idi. Ortalama anterior vertebral yükseklik %49'dan %58'e, posterior vertebral yükseklik ise %79'dan %86'ya yükseldi. Komplikasyon olarak 1 . tane ARDSye bağlı eksitus ve 1 tane de cerrahi drenaj ve antibiyotik tedavisi ile tam şifa sağlanan derin enfeksiyon görüldü. 2 hastanın postoperatif nörolojik muayenesinde ''Frankel sınıflamasına göre'' 1° düzelme gözlendi. Sonuç olarak stabil bir osteosentez sağladığı, mobilizasyon ve hastanede yatma süresini kısalttığı için Cotrel-Dubousset instrumantasyonu instabil vertebra kırıklarının tedavisinde iyi bir alternatif olarak düşünüldü.

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Details

Primary Language English
Journal Section Original Article
Authors

M. Dincer This is me

Hakan Omeroglu This is me

İlker Cetin This is me

Publication Date September 11, 2006
Published in Issue Year 1992 Volume: 26 Issue: 2

Cite

APA Dincer, M., Omeroglu, H., & Cetin, İ. (2006). Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation. Acta Orthopaedica Et Traumatologica Turcica, 26(2), 85-88. https://doi.org/10.3944/aott.v26i2.1299
AMA Dincer M, Omeroglu H, Cetin İ. Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation. Acta Orthopaedica et Traumatologica Turcica. September 2006;26(2):85-88. doi:10.3944/aott.v26i2.1299
Chicago Dincer, M., Hakan Omeroglu, and İlker Cetin. “Treatment of Unstable Fractures of the Spine With the Cotrel-Dubousset Instrumentation”. Acta Orthopaedica Et Traumatologica Turcica 26, no. 2 (September 2006): 85-88. https://doi.org/10.3944/aott.v26i2.1299.
EndNote Dincer M, Omeroglu H, Cetin İ (September 1, 2006) Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation. Acta Orthopaedica et Traumatologica Turcica 26 2 85–88.
IEEE M. Dincer, H. Omeroglu, and İ. Cetin, “Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation”, Acta Orthopaedica et Traumatologica Turcica, vol. 26, no. 2, pp. 85–88, 2006, doi: 10.3944/aott.v26i2.1299.
ISNAD Dincer, M. et al. “Treatment of Unstable Fractures of the Spine With the Cotrel-Dubousset Instrumentation”. Acta Orthopaedica et Traumatologica Turcica 26/2 (September 2006), 85-88. https://doi.org/10.3944/aott.v26i2.1299.
JAMA Dincer M, Omeroglu H, Cetin İ. Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation. Acta Orthopaedica et Traumatologica Turcica. 2006;26:85–88.
MLA Dincer, M. et al. “Treatment of Unstable Fractures of the Spine With the Cotrel-Dubousset Instrumentation”. Acta Orthopaedica Et Traumatologica Turcica, vol. 26, no. 2, 2006, pp. 85-88, doi:10.3944/aott.v26i2.1299.
Vancouver Dincer M, Omeroglu H, Cetin İ. Treatment of unstable fractures of the spine with the Cotrel-Dubousset instrumentation. Acta Orthopaedica et Traumatologica Turcica. 2006;26(2):85-8.