The Association between Sagittal Index, Canal Compromise, Loss of Vertebral Body Height, and Severity of Spinal Cord Injury in Thoracolumbar Burst Fractures

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dc.authorid0000-0001-5590-0637
dc.authorscopusid55843167500
dc.authorscopusid55372092900
dc.authorscopusid57225406352
dc.authorscopusid56674583800
dc.authorscopusid6505912952
dc.authorscopusid7006006212
dc.authorwosidKARAARSLAN, Numan/I-6819-2019
dc.contributor.authorYüksel, Mehmet Onur
dc.contributor.authorGürbüz, Mehmet Sabri
dc.contributor.authorGök, Şevki
dc.contributor.authorKaraarslan, Numan
dc.contributor.authorİş, Merih
dc.contributor.authorBerkman, Mehmet Zafer
dc.date.accessioned2022-05-11T14:34:46Z
dc.date.available2022-05-11T14:34:46Z
dc.date.issued2016
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractAim: Our aim was to determine whether a combination of sagittal index (SI), canal compromise (CC), and loss of vertebral body height (LVBH) is associated with the severity of neurological injury in patients with thoracolumbar burst fractures. Materials and Methods: Seventy-four patients with thoracolumbar burst fracture undergoing instrumentation between 2010 and 2015 were analyzed retrospectively. The degree of neurological injury was determined using the American Spinal Injury Association (ASIA) scoring system. The association between the morphology of the fracture and the severity of neurological injury was analyzed. Results: There was a strong association between fracture morphology and the severity of neurological injury. Of the patients, 77.5% with SI >= 20 degrees, 81.6% with CC >= 40%, and 100% with LVBH >= 50% had lesion according to ASIA. All of 7 patients with ASIA A had SI >= 20 degrees w, CC >= 40%, and LVBH >= 50%. On the other hand, 79% of the patients with ASIA E had SI <20 degrees, 83.7% of the patients with ASIA E had CC <40%, and all of the patients with ASIA E had LVBH <50%. SI, CC, and LVBH were lower in neurologically intact patients (ASIA E), whereas they were higher in patients with neurological deficits (ASIA A, B, C, D) (P = 0.001; P < 0.01). These measurements had 100% negative predictive values and relatively high positive predictive values. Conclusion: SI, CC, and LVBH are significantly associated with the severity of neurological injury in patients with thoracolumbar burst fractures. The patients with SI >25 degrees, the patients with CC >40%, and the patients with LVBH >50% are likely to have a more severe neurological injury.
dc.identifier.doi10.4103/0976-3147.196466
dc.identifier.endpageS61
dc.identifier.issn0976-3147
dc.identifier.issn0976-3155
dc.identifier.issue5en_US
dc.identifier.pmid28163505
dc.identifier.scopus2-s2.0-85008507470
dc.identifier.scopusqualityQ3
dc.identifier.startpageS57
dc.identifier.urihttps://doi.org/10.4103/0976-3147.196466
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8088
dc.identifier.volume7
dc.identifier.wosWOS:000392115800012
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKaraarslan, Numan
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofJournal of Neurosciences in Rural Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAmerican Spinal Injury Association score
dc.subjectfracture morphology
dc.subjectmeasurement
dc.subjectneurological injury
dc.subjectradiological characteristic
dc.subjectManagement
dc.subjectClassification
dc.subjectMulticenter
dc.subjectParameters
dc.titleThe Association between Sagittal Index, Canal Compromise, Loss of Vertebral Body Height, and Severity of Spinal Cord Injury in Thoracolumbar Burst Fractures
dc.typeArticle

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