Abstract: Background and objectives: Vertebral Fractures with spinal cord injury represents a devastating injury with potentially drastic effects on the patient’s life. The treatment options for unstable thoracolumbar spine fractures and fracture dislocations have long been controversial. Aim of the study was to access the commonest mode, level, type of fracture, efficacy of pedicle screw and rod system and the radiological, neurological and functional out come in order to recreate a stable pain free spinal column.
Methods: This study is a prospective clinical study of unstable thoracolumbar spinal injuries by posterior instrumentation (pedicular screw and rod fixation in thoracic, lumbar, and thoracolumbar spinal fractures). In all, a total of 20 cases were evaluated and assessed during the period from January 2016 to January 2018. At the end of 6 month of follow up the patients were evaluated clinically by using Denis work scale.
Results: In our study, we had 70% males and 30% female patients and average age was 37.55 years. Fall from height was the most common mode of injury with 65% followed by RTA with 30%. 70% of patients were T11-L2 level, 20% were between T1-T10, 10% were between L3-L5 levels. In our study we had of patients with 20% ASIA Grade-A, 25% with Grade Band 40% with Grade-C at admission and at latest follow up showed at least 1 ASIA Grade improvement. As per Denis work scale, 5 patients were in W1 category, 11 patients in W2 category, 2 patients in W3 category, and 2 patients in W4 category at the end of 6 months follow-up.
Conclusion: From our study, we conclude that posterior decompression and posterior stabilisation is a safe, relatively easier and effective approach to the management of traumatic dorsolumbar spinal fractures.
