Publication:

Evaluating the prognosis of surgical treatment for lumbar and thoracic fractures

Background In spinal column fracture remedy, using the surgery method with indirect setting as a bone and retro fixation by multi segment system fellow with pedicular screw is the selected method that has strength fixation and improvement results and its protection take short fusion. The aim of this study is to determine prognosis of thoracicand lumbar traumatic fracture surgery treatment in the patient’s referred to Ardabil Fatemi Hospital.

Methods This is a retrospective cross-sectional descriptive study that was done in patients who were taken under surgery of settling the pedicular screw in Ardabil Fatemi Hospital from 2007 to 2010 by thoracolumbar vertebrae fracture diagnosis. Necessary information included the fracture mechanism, the fracture kind, the fracture place, the number of broken vertebrae, the time between fracture occurring to surgery, the neurologic condition before and after surgery collected and analyzed by statistical methods in SPSS.16 software.

Results The common mechanism of fracture was related to the accident, and the common kind of fracture was compression. The maximum plenty of the place of breakage was related to T12 and L1. The neurologic condition of before and after surgery was improved meaningfully. The infection was revealed in 6.2% and fusion in 97.9%. The maximum plenty related to the returning to the job was 6 months. The level of urinary incontinence after surgery was decreased significantly as compared with before surgery.

Conclusion Results showed that doing the surgery with pedicular screw was effective in prognosis of patients suffering to thoracolumbar fractures.