SciELO - Scientific Electronic Library Online

 
vol.24 número1Tratamiento del pie equinovaro congénito irreductible mediante minifijador externo RALCA®Rotación de colgajos musculares para cobertura de defectos en fracturas abiertas de tibia producidas por armas de fuego índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista Cubana de Ortopedia y Traumatología

versión impresa ISSN 0864-215Xversión On-line ISSN 1561-3100

Resumen

MENA PEREZ, Rafael; GARCES YERO, Raúl; BENITEZ HERRERA, Alberto  y  GARMENDIA GARCIA, Fermín. Vertebral column unstable fractures: presentation of a case series. Rev Cubana Ortop Traumatol [online]. 2010, vol.24, n.1. ISSN 0864-215X.

INTRODUCTION: Present paper was conducted due to the high incidence of traumatic vertebral lesions with medullary lesion or not present in patients seen in the Emergency Department of "Enrique Cabrera" Hospital. The aim of present paper was to verify a series of patients with unstable vertebral fractures and also to assess its clinical course. METHODS: An interventional prospective study was conducted in 15 patients presenting with unstable vertebral factures from 1990 to 2001. All patients underwent a lateral and preoperative and postoperative routine radiological study. According the Frankel's classification the preoperative and postoperative clinical picture was registered. RESULTS: There was a male sex predominance (86.6%) and mean age was of 35,2 years. The more involved vertebral segment was the T12-L1 and the mechanisms causing the predominant lesions were the height falls and the road accidents. Ten patients were operated on; in all there was instrumentation and in five we used decompression of nervous elements, as well as the Luque instrumentation, transpedicular corpectomy and Luque instrumentation, Harrington-Luque and anterior decompression with AO osteosynthesis. In six patients we achieved good results, regular in two and poor in other two patients. As complication were registered the dura mater and sepsis in the operative site in a case and a rupture in one of the Luque wires in other patient. CONCLUSIONS: Early medullary decompression and spinal stabilization are very necessary.

Palabras clave : Unstable vertebral fracture; spinal lesion; spinal instrumentation; transpedicular corpectomy.

        · resumen en Español | Francés     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons