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KMID : 1143720110070010024
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Korean Journal of Neurotrauma
2011 Volume.7 No. 1 p.24 ~ p.28
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Clinical and Radiological Analysis of Thoracoscopic Spinal Surgery in Thoracolumbar Burst Fractur
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Jung Jong-Rak
Park Sung-Bae
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Abstract
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ObjectivesTo evaluate the effectiveness and reasonability of thoracoscopic spinal surgery in patients with thoracolumbar burst fractures.
Methods:The authors reviewed the patients who had undergone thoracoscopic spine surgery for thoracolumbar burst fracture between January 2008 and October 2010. Spine lateral radiographs were taken at preoperative and follow-up periods and thoracolumbar kyphosis (T11-L2 Cobb angle) was measured. Oswestry disability index (ODI) and Visual analogue scale (VAS) scores were also measured preoperatively and follow-up.
Results:There were three male patients and 2 female patients and a mean age of patients was 51.6±14.38 years. Mean follow-up duration was 14.0±7.8 months. The mean ODI score in follow-up period was significantly improved (40±1.5 and 13±11.4, p=0.043). The difference between preoperative and follow-up mean VAS scores was significant (8±1.1 and 1±1.7, p=0.042). Mean preoperative kyphotic angle was 21.4±6.48 degree and mean follow-up kyphotic angle was 10.3±7.41 degree. There was significant difference (p=0.036). One patient complained a transient intercostal neuralgia and there was postoperative chylothorax in other patient.
Conclusion:In this study, there are good clinical and radiological results after thoracoscopic spine surgery in short-term period. Although thoracoscopic spine surgery requires a steep learning curve, it could be a promising technique with good results in thoracolumbar burst fracture.
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KEYWORD
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Thoracoscopy, Thoracolumbar, Spine, Fracture
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