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 Ignacio
dc.contributor.authorFarias, Ignacio
dc.contributor.authorDel Pino, Cristóbal
dc.contributor.authorGimbernat, Marcos
dc.contributor.authorUrzúa, Alejandro
dc.contributor.authorTapia, Carlos
dc.contributor.authorZamorano, Juan José
dc.date.accessioned2023-10-12T12:46:41Z
dc.date.available2023-10-12T12:46:41Z
dc.date.issued2023-12
dc.descriptionIndexación: Scopuses
dc.description.abstractThoracolumbar 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.es
dc.identifier.citationBMC Surgery Volume 23, Issue 1 December 2023 Article number 166es
dc.identifier.doi10.1186/s12893-023-02061-zen
dc.identifier.issn1471-2482
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/53434
dc.language.isoenes
dc.publisherBMC Surgeryes
dc.rights.licenseCC BY 4.0 DEED Attribution 4.0 Internationalen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectBurst fracturees
dc.subjectCTes
dc.subjectDecompressiones
dc.subjectFixationes
dc.subjectSpinal cord injuryes
dc.subjectThoracolumbares
dc.subjectTraumaes
dc.titleSurgical timing prevails as the main factor over morphologic characteristics in the reduction by ligamentotaxis of thoracolumbar burst fractureses
dc.typeArtículoes
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