Does neurological recovery in thoracolumbar and lumbar burst fractures depend on the extent of canal compromise?

S. P. Mohanty, N. Venkatram

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Study design: Prospective study. Objectives: Forty-five consecutive cases of thoracolumbar and lumbar burst fractures treated non-operatively were analyzed to correlate the extent of canal compromise at the time of injury with (i) the initial neurologic deficit and (ii) with the extent of neurological recovery at 1 year. The effect of spinal canal remodeling on neurological recovery was also analyzed. Setting: University teaching hospital in south India. Methods: The degree of spinal canal compromise and canal remodeling were assessed from computed tomography scans. The neurologic status was assessed by Frankel's grading. Results: The mean canal compromise in patients with neurologic deficit was 46.2% while in patients with no neurological deficit it was 36.3%. The mean spinal canal compromise in patients with neurological recovery was 46.1% and 48.4% in those with no recovery. The amount of canal remodeling in patients who recovered was 51.7% and 46.1% in the patients who did not recover. None of these differences was statistically significant. Conclusion: This study shows that there is no correlation between the neurologic deficit and subsequent recovery with the extent of spinal canal compromise in thoracolumbar burst fractures.

Original languageEnglish
Pages (from-to)295-299
Number of pages5
JournalSpinal Cord
Volume40
Issue number6
DOIs
Publication statusPublished - 01-01-2002

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Spinal Canal
Neurologic Manifestations
Teaching Hospitals
Nervous System
India
Tomography
Prospective Studies
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

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abstract = "Study design: Prospective study. Objectives: Forty-five consecutive cases of thoracolumbar and lumbar burst fractures treated non-operatively were analyzed to correlate the extent of canal compromise at the time of injury with (i) the initial neurologic deficit and (ii) with the extent of neurological recovery at 1 year. The effect of spinal canal remodeling on neurological recovery was also analyzed. Setting: University teaching hospital in south India. Methods: The degree of spinal canal compromise and canal remodeling were assessed from computed tomography scans. The neurologic status was assessed by Frankel's grading. Results: The mean canal compromise in patients with neurologic deficit was 46.2{\%} while in patients with no neurological deficit it was 36.3{\%}. The mean spinal canal compromise in patients with neurological recovery was 46.1{\%} and 48.4{\%} in those with no recovery. The amount of canal remodeling in patients who recovered was 51.7{\%} and 46.1{\%} in the patients who did not recover. None of these differences was statistically significant. Conclusion: This study shows that there is no correlation between the neurologic deficit and subsequent recovery with the extent of spinal canal compromise in thoracolumbar burst fractures.",
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Does neurological recovery in thoracolumbar and lumbar burst fractures depend on the extent of canal compromise? / Mohanty, S. P.; Venkatram, N.

In: Spinal Cord, Vol. 40, No. 6, 01.01.2002, p. 295-299.

Research output: Contribution to journalArticle

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