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STABILIZATION OF THORACOLUMBAR SPINAL INJURIES
N B Amaresh1, J Sikdar2, A Joshi3
1Senior Consultant, Surgery, Office of Director General Armed Forces Medical Services, Ministry of Defence, New Delhi -110011.
Medical Journal, Armed Forces India
|July 2, 2016
Summary
This study on thoracolumbar spinal cord injuries found that surgical treatment, including decompression laminectomy and spinal instrumentation, led to neurological improvement and facilitated early rehabilitation for patients with incomplete injuries.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Trauma Care
Background:
- Base Hospital Delhi Cantt has managed spinal cord injury cases since October 1997.
- A significant number of thoracolumbar injuries were admitted between October 1997 and August 1999.
Purpose of the Study:
- To evaluate the outcomes of surgical and conservative management for thoracolumbar spinal cord injuries.
- To assess the effectiveness of early surgical intervention and methylprednisolone therapy.
Main Methods:
- Retrospective analysis of 27 thoracolumbar spinal injury cases.
- Surgical interventions included decompression laminectomy, transpedicular fixation (Dyna-lok), universal spinal system, and Harrington instrumentation.
- Conservative management was employed for 7 patients with contraindications to surgery.
Main Results:
- Twenty patients underwent surgical treatment (9 thoracic, 11 lumbar) within 3 weeks of trauma.
- Methylprednisolone therapy was administered to early-presenting patients.
- Patients with incomplete spinal cord injuries demonstrated neurological improvement post-surgery.
Conclusions:
- Surgical management, particularly with spinal instrumentation, is effective for thoracolumbar spinal cord injuries.
- Early surgical intervention and rehabilitation are crucial for improving outcomes in incomplete spinal cord injuries.
