Indications for Nonsurgical Treatment of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.
Burst fractures
Compression fractures
Conservative treatment
Indications for nonoperative treatment
Neurological deficit
Thoracolumbar fractures
Journal
Neurospine
ISSN: 2586-6583
Titre abrégé: Neurospine
Pays: Korea (South)
ID NLM: 101724936
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
21
04
2021
accepted:
23
05
2021
entrez:
9
1
2022
pubmed:
10
1
2022
medline:
10
1
2022
Statut:
ppublish
Résumé
Thoracolumbar spine is the most injured spinal region in blunt trauma. Literature on the indications for nonoperative treatment of thoracolumbar fractures is conflicting. The purpose of this systematic review is to clarify the indications for nonsurgical treatment of thoracolumbar fractures. We conducted a systematic literature search between 2010 to 2020 on PubMed/MEDLINE, and Cochrane Central. Up-to-date literature on the indications for nonoperative treatment of thoracolumbar fractures was reviewed to reach an agreement in a consensus meeting of WFNS (World Federation of Neurosurgical Societies) Spine Committee. The statements were voted and reached a positive or negative consensus using the Delphi method. For all of the questions discussed, the literature search yielded 1,264 studies, from which 54 articles were selected for full-text review. Nine studies (4 trials, and 5 retrospective) evaluating 759 participants with thoracolumbar fractures who underwent nonoperative/surgery were included. Although, compression type and stable burst fractures can be managed conservatively, if there is major vertebral body damage, kyphotic angulation, neurological deficit, spinal canal compromise, surgery may be indicated. AO type B, C fractures are preferably treated surgically. Future research is necessary to tackle the relative paucity of evidence pertaining to patients with thoracolumbar fractures.
Identifiants
pubmed: 35000324
pii: ns.2142390.195
doi: 10.14245/ns.2142390.195
pmc: PMC8752701
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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