caa a22 4500 445831707 CHVBK 20180317145317.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00586-011-1698-5 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1698-5 Thoracic spine fractures: injury profile and outcomes of a surgically treated cohort [Elektronische Daten] [Bartolomé Marré, Vicente Ballesteros, Celmira Martínez, Juan Zamorano, Francisco Ilabaca, Milan Munjin, Ratko Yurac, Alejandro Urzúa, Miguel Lecaros, José Fleiderman] There are only few reports in literature about the treatment of traumatic lesions of the thoracic spine. They have been grouped together with thoracolumbar fractures, ignoring the particular biomechanics of the thoracic segment. The objective of this retrospective cohort is to describe the clinical presentation and outcomes of surgically treated patients with these injuries. Data were obtained from the institutional database of medical registries, identifying all the patients who had been treated for thoracic spine fractures, from January 1, 1995 through December 31, 2005 in our institution. The study group included the 51 surgically treated patients. General and surgery-related complications were considered as clinical outcomes and injury-related disability was also assessed. Statistical analysis evaluating possible associations with timing and type of surgery, neurological impairment and associated injuries was carried out. Motor vehicle accident was the most frequent mechanism of injury. Six patients had an incomplete neurological deficit, whereas 22 had a complete lesion. Thirty-two patients presented at least one complication. Five of the neurologically intact patients, while 20 of those with neurological impairment presented general complications (p=0.0001). None of the patients' neurological status deteriorated after surgery. All patients with complete spinal cord injury and those with incomplete cord injury with partial functional recovery received disability compensation. Short pedicle instrumentations should be used whenever possible, but also long instrumentations and mixed constructs may be necessary for the management of such unique fractures. Springer-Verlag, 2011 Thoracic spine fractures nationallicence Spinal instrumentation nationallicence Thoracic trauma nationallicence Marré Bartolomé Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Ballesteros Vicente Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Martínez Celmira Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Zamorano Juan Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Ilabaca Francisco Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Munjin Milan Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Yurac Ratko Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Urzúa Alejandro Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Lecaros Miguel Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut Fleiderman José Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut European Spine Journal Springer-Verlag 20/9(2011-09-01), 1427-1433 0940-6719 20:9<1427 2011 20 586 https://doi.org/10.1007/s00586-011-1698-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1698-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marré Bartolomé Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Ballesteros Vicente Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Martínez Celmira Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Zamorano Juan Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Ilabaca Francisco Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Munjin Milan Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Yurac Ratko Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Urzúa Alejandro Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Lecaros Miguel Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 700 1- Fleiderman José Spine Surgery Unit, Department of Orthopedics, Hospital del Trabajador de Santiago, Ramón Carnicer 201, Providencia, Santiago, Chile aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/9(2011-09-01), 1427-1433 0940-6719 20:9<1427 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer