Adriano Passáglia Esperidião

Avaliação radiográfica do colapso sagital na fratura toracolombar tipo B de Magerl

INTRODUCAO: a cifose pos-traumatica e uma complicacao do tratamento conservador da fratura toracolombar tipo flexo-distrativa de Magerl (B21). A maioria das series avalia todos os subtipos de Magerl e discute seus achados com base na perda media de cifose no acompanhamento. OBJETIVO: avaliar o desfecho radiografico quanto a cifose nos portadores de fraturas do subtipo B21 de Magerl, de acordo com a variacao das medias entre os individuos apos acompanhamento minimo de seis meses. METODOS: estudo retrospectivo com 34 pacientes submetidos a realizacao de gesso antigravitacional ou colete TLSO. A mensuracao da cifose foi realizada pelo metodo de Cobb no momento da admissao no hospital e no final do acompanhamento medio de 84,5 meses. RESULTADOS: nao houve diferenca estatistica entre a cifose antes e apos o tratamento (14,18o versus 14,15o; (p=0,967). CONCLUSAO: a cifose radiografica no final do acompanhamento e similar a cifose encontrada nas radiografias iniciais nesse grupo de pacientes.

Resultados y complicaciones de la vertebrectomía por vía posterior después de 2 años seguimiento

OBJECTIVE: To describe the surgical technique for vertebrectomy by posterior single approach in the thoracic and thoracolumbar spine with circumferential reconstruction and arthrodesis, and evaluate retrospectively the results and complications after 2 years of follow-up in patients undergoing this technique.METHODS: Retrospective analysis of medical records and imaging studies of 12 patients with vertebrectomy indication for various pathologies, undergoing this surgical technique.RESULTS: Eight (66.67%) patients were male and four patients (33.33%) were females aged 13-66 years (mean 40 years). There were nine patients with involvement of the thoracic spine and three of the lumbar, and one patient with two consecutive vertebrae affected. All patients had improved or remained with the neurological condition. Surgical complications were two cases of hemothorax, two cases of loosening of the screws, one of them requiring surgical revision, and a case of material failure and pseudarthrosis.CONCLUSION: Vertebrectomy by posterior approach in thoracolumbar spine with circumferential reconstruction and fusion can be performed safely for a variety of indications.

Resultados e complicações da vertebrectomia por via posterior após 2 anos de seguimento

OBJECTIVE: To describe the surgical technique for vertebrectomy by posterior single approach in the thoracic and thoracolumbar spine with circumferential reconstruction and arthrodesis, and evaluate retrospectively the results and complications after 2 years of follow-up in patients undergoing this technique.METHODS: Retrospective analysis of medical records and imaging studies of 12 patients with vertebrectomy indication for various pathologies, undergoing this surgical technique.RESULTS: Eight (66.67%) patients were male and four patients (33.33%) were females aged 13-66 years (mean 40 years). There were nine patients with involvement of the thoracic spine and three of the lumbar, and one patient with two consecutive vertebrae affected. All patients had improved or remained with the neurological condition. Surgical complications were two cases of hemothorax, two cases of loosening of the screws, one of them requiring surgical revision, and a case of material failure and pseudarthrosis.CONCLUSION: Vertebrectomy by posterior approach in thoracolumbar spine with circumferential reconstruction and fusion can be performed safely for a variety of indications.

Results and complications of vertebrectomy with posterior approach after 2-year follow-up

OBJECTIVE: To describe the surgical technique for vertebrectomy by posterior single approach in the thoracic and thoracolumbar spine with circumferential reconstruction and arthrodesis, and evaluate retrospectively the results and complications after 2 years of follow-up in patients undergoing this technique.METHODS: Retrospective analysis of medical records and imaging studies of 12 patients with vertebrectomy indication for various pathologies, undergoing this surgical technique.RESULTS: Eight (66.67%) patients were male and four patients (33.33%) were females aged 13-66 years (mean 40 years). There were nine patients with involvement of the thoracic spine and three of the lumbar, and one patient with two consecutive vertebrae affected. All patients had improved or remained with the neurological condition. Surgical complications were two cases of hemothorax, two cases of loosening of the screws, one of them requiring surgical revision, and a case of material failure and pseudarthrosis.CONCLUSION: Vertebrectomy by posterior approach in thoracolumbar spine with circumferential reconstruction and fusion can be performed safely for a variety of indications.

Radiographic evaluation of sagittal collapse in Magerl type B thoracolumbar fractures

INTRODUCAO: a cifose pos-traumatica e uma complicacao do tratamento conservador da fratura toracolombar tipo flexo-distrativa de Magerl (B21). A maioria das series avalia todos os subtipos de Magerl e discute seus achados com base na perda media de cifose no acompanhamento. OBJETIVO: avaliar o desfecho radiografico quanto a cifose nos portadores de fraturas do subtipo B21 de Magerl, de acordo com a variacao das medias entre os individuos apos acompanhamento minimo de seis meses. METODOS: estudo retrospectivo com 34 pacientes submetidos a realizacao de gesso antigravitacional ou colete TLSO. A mensuracao da cifose foi realizada pelo metodo de Cobb no momento da admissao no hospital e no final do acompanhamento medio de 84,5 meses. RESULTADOS: nao houve diferenca estatistica entre a cifose antes e apos o tratamento (14,18o versus 14,15o; (p=0,967). CONCLUSAO: a cifose radiografica no final do acompanhamento e similar a cifose encontrada nas radiografias iniciais nesse grupo de pacientes.

Evaluación radiográfica de la cifosis en los portadores de fracturas del subtipo B21 de Magerl

INTRODUCAO: a cifose pos-traumatica e uma complicacao do tratamento conservador da fratura toracolombar tipo flexo-distrativa de Magerl (B21). A maioria das series avalia todos os subtipos de Magerl e discute seus achados com base na perda media de cifose no acompanhamento. OBJETIVO: avaliar o desfecho radiografico quanto a cifose nos portadores de fraturas do subtipo B21 de Magerl, de acordo com a variacao das medias entre os individuos apos acompanhamento minimo de seis meses. METODOS: estudo retrospectivo com 34 pacientes submetidos a realizacao de gesso antigravitacional ou colete TLSO. A mensuracao da cifose foi realizada pelo metodo de Cobb no momento da admissao no hospital e no final do acompanhamento medio de 84,5 meses. RESULTADOS: nao houve diferenca estatistica entre a cifose antes e apos o tratamento (14,18o versus 14,15o; (p=0,967). CONCLUSAO: a cifose radiografica no final do acompanhamento e similar a cifose encontrada nas radiografias iniciais nesse grupo de pacientes.