Surgical Treatment of Fractures of the Dorso-lombar Spine

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rare The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads ly the vital prognosis

Study Overview

• Status: Completed
• Conditions: Spine Fracture
• Intervention / Treatment: Procedure: Osteosynthesis

Detailed Description

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rarely the vital prognosis .

The thoracolumbar spine has an extended transition zone between the tenth thoracic vertebra (T10) and the second lumbar vertebra (L2): the thoracolumbar hinge which, given its particular anatomical situation between a poorly mobile thoracic segment and a dynamic lumbar segment, is the predilection for occurrence of fractures and dislocations .

The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads.

The analysis of the lesion mechanism and its consequences depends on the understanding of the classification of these lesions which are essential for therapeutic conduct .

Surgical treatment constitutes a key element in the management strategy for these fractures

• Study Type: Observational
• Enrollment (Actual): 80

Contacts and Locations

Study Locations

• Tunisia
  • Kairouan, Tunisia, 3190
    • IBN jazzar hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

80 cases of surgically treated thoracolumbar spine fractures

Description

Inclusion Criteria:

• the files of patients hospitalized for a recent fracture of the thoracolumbar spine within 12 months

Exclusion Criteria:

• Files with insufficient follow-up, patients lost to follow-up. patients presenting: A pathological fracture. Osteoporotic collapse. Material and Methods 3 Staged trauma to the spine. A fracture due to ankylosing spondylitis

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

80 cases of thoracolumbar spine fractures

Procedure: Osteosynthesis; Some patients had osteosynthesis using a long construct, others had osteosynthesis using a short construct. Short constructs designated constructs only taking one level above and one level below the injury level (the fractured vertebra was not always included in the construct). The montages taking more than one level above or below the lesion were considered to be a long montage. Osteosynthesis is carried out using Cotrel Dubousset type rods and screws.; Other Names: Arthrodesis; Release gestures; First approach

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Age (in years)	average age of our patients was 38.25 years with extremes of 16 years and 68 years	from enrollment to the end of treatment at 4 years
Sex	Our series is characterized by a significant male predominance, it included 47 men (58.75%) and 33 women (41.25%), with a sex ratio of 1.42	from enrollment to the end of treatment at 4 years
Neurological status ( Frenkel classification)	3 Frankel A patients, 1 Frankel B patient, 6 Frankel C patients and 6 Frankel D	from enrollment to the end of treatment at 4 years

Collaborators and Investigators

• Sponsor: Ibn Jazzar Hospital

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2018
• Primary Completion (Actual): January 1, 2022
• Study Completion (Actual): January 1, 2022

Study Registration Dates

• First Submitted: April 15, 2024
• First Submitted That Met QC Criteria: April 16, 2024
• First Posted (Actual): April 18, 2024

Study Record Updates

• Last Update Posted (Actual): April 18, 2024
• Last Update Submitted That Met QC Criteria: April 16, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: Treatment; Surgery; Evaluation; Fractures; Spine; Results
• Additional Relevant MeSH Terms: Wounds and Injuries; Spinal Injuries; Back Injuries; Fractures, Bone; Spinal Fractures
• Other Study ID Numbers: IRB00001194

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: further use of this informations for others group works

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No