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논문 기본 정보

자료유형
학술저널
저자정보
Onur Yaman (Memorial Bahcelievler Spine Center) Mehmet Zileli (Department of Neurosurgery Ege University Faculty of Medicine) Salim Şentürk (Memorial Bahcelievler Spine Center) Kemal Paksoy (Memorial Bahcelievler Spine Center) Salman Sharif (Liaquat National Hospital Department of Neurosurgery)
저널정보
대한척추신경외과학회 Neurospine Neurospine 제18권 제4호
발행연도
2021.12
수록면
681 - 692 (12page)
DOI
10.14245/ns.2142340.170

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Thoracolumbar fractures change the biomechanics of the spine. Load distribution causes kyphosis by the time. Treatment of posttraumatic kyphosis is still controversial. We reviewed the literature between 2010 and 2020 using a search with keywords “thoracolumbar fracture and kyphosis.” We removed osteoporotic fractures, ankylosing spondylitis fractures, non-English language papers, case reports, and low-quality case series. Up-to-date information on posttraumatic kyphosis management was reviewed to reach an agreement in a consensus meeting of the World Federation of Neurosurgical Societies (WFNS) Spine Committee. The first meeting was conducted in Peshawar in December 2019 with WFNS Spine Committee members’ presence and participation. The second meeting was a virtual meeting via the internet on June 12, 2020. We utilized the Delphi method to administer the questionnaire to preserve a high degree of validity. We summarized 42 papers on posttraumatic kyphosis. Surgical treatment of thoracolumbar kyphosis due to unstable burst fractures can be done via a posterior only approach. Less blood loss and reduced surgery time are the main advantages of posterior surgery. Kyphosis angle for surgical decision and fusion levels are controversial. However, global sagittal balance should be taken into consideration for the segment that has to be included. Adding an intermediate screw at the fractured level strengthens the construct.

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