Resumo

ALVAREZ LOPEZ, Alejandro  e  GARCIA LORENZO, Yenima de la Caridad. Vertical compression fracture of the lumbar spine. AMC [online]. 2015, vol.19, n.4, pp. 397-404. ISSN 1025-0255.

Background: fractures of the spine by axial compression mechanism without neurological lesion are a paradigm in connection with its conservative or surgical treatment. There is controversy in the literature about the type of treatment of this lesion. Objective: to make a review about the selection criteria of both types of treatment. Methods: a bibliographic review of 330 articles published in Pubmed, Hinari and Medline by means of the reference management software Endnote was made. Fifty-two citations were selected for the review, 46 of them from the last five years; two books were included. Development: different factors for deciding the type of treatment were analysed. Some of the factors were the following: severity scale of the fractures of the lumbosacral segment proposed by Vaccaro AR, kyphosis degree, and medullary channel. On the other hand, a comparison of different authors was made according to the treatment applied in their researches and the surgical indications for their patients. Conclusions: according to the review made and the studies consulted, the patients with fractures of the spine without neurological lesion can be treated conservatively in spite of the degree of mechanical instability they present.

Palavras-chave : LUMBOSACRAL PLEXUS [injuries]; SPINAL FRACTURES; KYPHOSIS [therapy]; ORGAN SPARING TREATMENTS; REVIEW LITERATURE AS TOPIC.

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