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KMID : 0374019830060010029
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Ewha Medical Journal
1983 Volume.6 No. 1 p.29 ~ p.34
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A Clinical Study of the Thoraco-Lumbar Spine Fractures and Fracture-Dislocations
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Abstract
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The rate of the spine fracture tends to be increased as the rate of traffic and ustrial accidents are increased.
One hundred and fifteen thoraco-lumbar spine fractures and fracture-dislocations
out of 81 patients were evaluated from March, 1976 to September, 1981 treated at
the Department of Orthpaedic Surgery of Ewha University Hospital.
1. The majority(64.1%) of the spine fracture was found in the age group of 20 to 50 years. 58% of the cases were caused by fall down injury.
There was no difference between sex.
2. Most common site of the lesion occured between T12 and L2 vertebrae(65.2%) and flexion fracture (56 %) was most common.
3. Thirteen cases of the total were complicated by paraplegia, of which 76.9% was caused by rotational frecture-dislocation.
4. Prognosis for neurological recovery in initially complete lesion was poor, regardless of treatment.
About 15% initially complete lesion. showed complete recovery and 47% showed incomplete recovery.
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