dc.contributor.author | Seçer, Mehmet | |
dc.contributor.author | Alagöz, Fatih | |
dc.contributor.author | Uçkun, Ozhan | |
dc.contributor.author | Karakoyun, Oğuz Durmuş | |
dc.contributor.author | Ulutaş, Murat Ömer | |
dc.contributor.author | Polat, Ömer | |
dc.contributor.author | Dağlıoğlu, Ergün | |
dc.contributor.author | Dalgıç, Ali | |
dc.contributor.author | Belen, Deniz | |
dc.date.accessioned | 2021-06-23T11:37:30Z | |
dc.date.available | 2021-06-23T11:37:30Z | |
dc.date.issued | 2015-12-01 | |
dc.identifier.issn | 1976-1902 | |
dc.identifier.other | 26713121 | |
dc.identifier.uri | https://doi.org/10.4184/asj.2015.9.6.889 | en_US |
dc.identifier.uri | http://openaccess.sanko.edu.tr/xmlui/handle/20.500.12527/250 | |
dc.description.abstract | Study Design: The study retrospectively investigated 15 cases with multilevel noncontiguous spinal fractures (MNSF). Purpose: To clarify the evaluation of true diagnosis and to plane the surgical treatment. Overview of Literature: MNSF are defined as fractures of the vertebral column at more than one level. High-energy injuries caused MNSF, with an incidence ranging from 1.6% to 16.7%. MNSF may be misdiagnosed due to lack of detailed neurological and radiological examinations. Methods: Patients with metabolic, rheumatologic diseases and neoplasms were excluded. Despite the presence of a spinal fracture associated clearly with the clinical picture, all patients were scanned within spinal column by direct X-rays, computed tomography and magnetic resonance imaging. When there were >= 5 intact vertebrae between two fractured vertebral segments, each fracture region was managed with a separated stabilization. In cases with <= 4 intact segments between two fractured levels, both fractures were fixed with the same rod and screw system. Results: There were 32 vertebra fractures in 15 patients. Eleven (73.3%) patients were male and age ranged from 20 to 64 years (35.9 +/- 13.7 years). Eleven cases were the American Spinal Injury Association (ASIA) E, 3 were ASIA A, and one was ASIA D. Ten of the 15 (66.7%) patients returned to previous social status without additional deficit or morbidity. The remaining 5 (33.3%) patients had mild or moderate improvement after surgery. Conclusions: The spinal column should always be scanned to rule out a secondary or tertiary vertebra fracture in vertebral fractures associated with high-energy trauma. In MNSF, each fracture should be separately evaluated for decision of surgery and planned approach needs particular care. In MNSF with <= 4 intact vertebra in between, stabilization of one segment should prompt the involvement of the secondary fracture into the system. | en_US |
dc.language.iso | English | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Multilevel | en_US |
dc.subject | Spinal column | en_US |
dc.subject | Spinal fracture | en_US |
dc.subject | Surgery | en_US |
dc.title | Multilevel Noncontiguous Spinal Fractures: Surgical Approach towards Clinical Characteristics. | en_US |
dc.type | Article | en_US |
dc.relation.journal | ASIAN SPINE JOURNAL | en_US |
dc.identifier.issue | 6 | en_US |
dc.identifier.startpage | 889 | en_US |
dc.identifier.endpage | 894 | en_US |
dc.identifier.volume | 9 | en_US |
dc.contributor.authorID | 0000-0001-8156-5393 : Murat ULUTAŞ | en_US |
dc.contributor.authorID | 0000-0003-1000-2811 : Ali Dalgıc | en_US |
dc.identifier.wos | 000420356300009 | en_US |
dc.identifier.doi | 10.4184/asj.2015.9.6.889 | en_US |
dc.contributor.sankoauthor | Murat Ulutaş | en_US |
Gazimuhtar Paşa Bulvarı
No:36
27090
Şehitkamil / GAZİANTEP