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2 "Thoracolumbar junction"
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Relationship between Simple X-ray and CT Findings on the Degree of Canal Encroachment in Burst Fracture of Thoracolumbar Junction
Young Do Koh, Jong Oh Kim
J Korean Soc Fract 1999;12(2):388-394.   Published online April 30, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.2.388
AbstractAbstract PDF
In burst fracture of thoracolumbar junction, compressive injury of middle column is characteristic and neurologic symptom develops by retropulsion of bony fragment into spinal canal. Authors had treated 44 cases with burst fracture of thoracolumbar junction at Ewha Woman' University Mokdong Hospital from September, 1993 to December, 1997 and analyzed the relationships between simple radiologic findings and canal encroachment and between neurology and canal encroachment. The results were as follows; Canal encroachment by bony fragment was larger in lower vertebra than in upper one. Canal encroachment was larger in Denis type A than in type B. Both anterior vertebral height(AVH) and presence of neurology were not related with the amount of canal encroachment. The lesser loss of posterior vertebral height(PVH) and kyphotic angle were, the more canal encroachment was. In summary, factors that influenced the amount of canal encroachment were fracture level and type. There was no significant relationship between neurology and the amount of canal encroachment. AVH, PVH and kyphotic angle were not related with the amount of canal encroachment.
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Risk Factors in Progression of Deformity in Compression Fracture of Thoracolumbar Junction
Young Do Koh, Jong Oh Kim
J Korean Soc Fract 1999;12(2):372-378.   Published online April 30, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.2.372
AbstractAbstract PDF
Compression fracture of thoracolumbar junction is considered to be stable, and usually treated by conservative methods, such as bed rest followed by bracing. However, we can often see the progression of deformity during follow-up. Authors had treated 62 cases with compression fractures of thoracolumbar junction conservatively at Ewha Woman' University Mokdong Hospital from September, 1993 to December, 1997, and analyzed risk factors of progression in anterior vertebral height (AVH) collapse and kyphotic angle after the minimum 1 year follow-up. The results were as follows; The anterior vertebral height significantly more decreased in the group with age over 60, but increase of kyphotic angle was not related with age factor. In female, decrease of AVH and increase of kyphotic angle were more than in male. AVH significantly more decreased in L1 than in T12 or L2, but increase of kyphotic angle was not related with fracture level. Decrease of AVH and increase of kyphotic angle were not related with fracture type. Osteoporosis seems to be the most important single risk factor in progression of compression and more strict wearing of well-fitting brace is necessary to protect the progression in case of severe osteoporosis.

Citations

Citations to this article as recorded by  
  • The Influence of Initial Magnetic Resonance Imaging Findings on the Compression Rate of Thoracolumbar Osteoporotic Vertebral Compression Fracture
    Seok-Ha Hwang, Seung-Pyo Suh, Young-Kyun Woo, Ho-Seung Jeon, Ho-Won Jeong
    Journal of the Korean Orthopaedic Association.2018; 53(4): 341.     CrossRef
  • Nonfusion Method in Thoracolumbar and Lumbar Spinal Fractures
    Yong-Min Kim, Dong-Soo Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho, Jae-Jung Jeong, Young-Chan Cha, Ji-Kang Park
    Spine.2011; 36(2): 170.     CrossRef
  • The Efficacy of Kyphoplasty on Osteoporotic Vertebral Compression Fracture - A 1-Year Follow-up Study -
    Dong-Ki Ahn, Song Lee, Dea-Jung Choi, Hoon-Seok Park, Kwan-Soo Kim, Tae-Woo Kim
    Journal of Korean Society of Spine Surgery.2009; 16(2): 79.     CrossRef
  • Clinical Outcome of Conservative Treatment for Osteoporotic Compression Fractures in Thoracolumbar Junction
    Whoan Jeang Kim, Jong Won Kang, Kun Young Park, Jae Guk Park, Se Hyun Jung, Won Sik Choy
    Journal of Korean Society of Spine Surgery.2006; 13(4): 240.     CrossRef
  • Results of Non-fusion Method in Thoracolumbar and Lumbar Spinal Fractures
    Yong-Min Kim, Dong-Soo Kim, Eui-Seong Choi, Hyun-Chul Shon, Kyoung-Jin Park, Kyeong-Il Jeong, Young-Chan Cha, Hu-Shan Cui
    Journal of Korean Society of Spine Surgery.2005; 12(2): 132.     CrossRef
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