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Surgical timing prevails as the main factor over morphologic characteristics in the reduction by ligamentotaxis of thoracolumbar burst fractures

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dc.contributor.authorCirillo, Juan
dc.contributor.authorFarias, Ignacio
dc.contributor.authorCristóbal Del Pino
dc.contributor.authorGimbernat, Marcos
dc.contributor.authorUrzúa, Alejandro
dc.contributor.authorTapia, Carlos
dc.contributor.authorZamorano, Juan
dc.date.accessioned2024-04-16T21:04:20Z
dc.date.available2024-04-16T21:04:20Z
dc.date.issued2023
dc.description.abstractBackground: thoracolumbar burst fractures are associated with spinal canal occupation. The indirect decompression of the spinal canal and reduction of the fragment can be achieved with the distraction of the middle column and ligamentotaxis. Nevertheless, the factors that influence the effectiveness of this procedure and its temporality are controversial. Methods: The aim of this observational, cross-sectional study was to evaluate the effectiveness of indirect reduction by ligamentotaxis in thoracolumbar burst fractures according to the fracture's radiologic characteristics and the procedure's temporality. Patients diagnosed with a thoracolumbar burst fracture between 2010 and 2021 were submitted to indirect reduction by distraction and ligamentotaxis. A retrospective analysis of radiologic characteristics and temporality of the procedure was performed with an independent sample t-test or Pearson's correlation coefficient, as required. Results: A total of 58 patients were included in the analysis. Postoperatively, ligamentotaxis significantly improved all radiologic parameters (canal occupation, endplates distance, and vertebra height). Still, none of the radiological characteristics of the fracture (width, height, position, sagittal angle) were associated with the postoperative change in canal occupation. The endplates distance and the temporality of ligamentotaxis significantly predicted the reduction of the fracture. Conclusion: Fragment reduction effectiveness is more significant when performed as early as possible and adequate distraction is achieved using the internal fixator system. The radiologic characteristics of the fractured fragment do not determine its reduction capacity.
dc.description.versionPublicada
dc.identifier.citationCirillo JI, Farias I, Del Pino C, Gimbernat M, Urzúa A, Tapia C, Zamorano JJ. Surgical timing prevails as the main factor over morphologic characteristics in the reduction by ligamentotaxis of thoracolumbar burst fractures. BMC Surg. 2023 Jun 20;23(1):166. doi: 10.1186/s12893-023-02061-z
dc.identifier.urihttps://hdl.handle.net/11447/8633
dc.language.isoen
dc.subjectBurst fracture
dc.subjectCT
dc.subjectDecompression
dc.subjectFixation
dc.subjectSpinal cord injury
dc.subjectThoracolumbar
dc.subjectTrauma
dc.titleSurgical timing prevails as the main factor over morphologic characteristics in the reduction by ligamentotaxis of thoracolumbar burst fractures
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceBMC surgery
dspace.entity.typePublication

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