A Comparative Study of Management of Thoracolumbar Spine Injuries with Neurological Deficit by Steffee Plating and Conservative Method.
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Date
2010-07
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Abstract
In a prospective study conducted in the Postgraduate Department of Orthopaedics Govt. Medical College,
Jammu, over a period of 2 years. Forty cases, both male and female in the age group of 20 to 50 years with
thoracolumbar spinal injury between D11 and L2 vertebra with neurological deficit were included . Out of
these forty cases, 20 cases were managed by posterior decompression and stabilization with Steffee
plating and 20 cases of similar injuries were managed conservatively and comparison of the two groups
was made. The results were analyzed according to neurological improvement as per Frankel's grading, the
complications and the duration of hospital stay in both the groups. In operative group; 50% of the patients
showed some degree of recovery with 30% of the patients showed full recovery. The mean postoperative
correction of kyphosis was 12.5% and the average hospital stay was 23.7days. 15% of the patients in
operated group developed complications. In the conservative group; 30% of the total patients showed
neurological recovery with 20 % patients showed significant recovery (Grade D). There were various
complications in 65% patients and the average hospital stay was recorded as 40.5 days. General complications
were more in conservative group. In view of increased incidence of neurological recovery, decreased
incidence of complications, decrease in hospital stay and ease of nursing care in case of operated group,
we recommend posterior spinal fixation with Steffee plate system in patients with unstable dorsolumbar
spinal fractures especially with incomplete neurological deficit to be adopted in oprative practise.
Description
Keywords
Thoracolumbar, Spinal Trauma, Steffe Plate System
Citation
Malik Farid H, Singh Manjeet, Basit M A, Sharma Siddhartha, Tikoo Agnivesh, Singh Dara. A Comparative Study of Management of Thoracolumbar Spine Injuries with Neurological Deficit by Steffee Plating and Conservative Method. JK Science Journal of Medical Education and Research. 2010 July-Sept; 12(3): 112-115