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THE RESULTS OF NON-OPERATIVE TREATMENT OF THORACOLUMBAR VERTEBRA FRACTURES

  • Haşan BOMBACI
  • İ.Metin TÜRKMEN
  • Ahmet ÖZBAKIR
  • Adnan KAFADAR
  • Adnan ABBASOĞLU

J Turk Spinal Surg 1993;4(2):45-47

Öfthe 159 patients with vertebrae compression fracture who have been treated non-operatively at orthopaed-ics and traumatology deparlment in Haydarpaşa Numune Hospital between June 1988- December 1992 in İstanbul 32 patients (11 female, 21 male) have accepted oUr invitation. The average age were 36 years. The mean fol-low-up time was 48 months.

After staying in bed for 6 weeks, they have been allowed to walk with chairback or TLSO brace for 2 months.

Patients returned to their former jobs. 18 of them (56.26%) couldn't lift up heavy things, 7 of them (21.87%) couldn't walk long way and stay long time. The pain was evaluated according to Deniş and 10 of them (31.25%) were in group P1, 7 of them (21.87%) were in group P2, 10 of them (31.25%) were in group P3, 4 of them (12,50%) were in group P4. No patients has restriction of motion.

Ali patients but three have compression less than 40% and anterior compression angle less than 30 degrees at the beginning and at the follow-up. 3 patients who have compression more than 40% had kyphosis later.

We have satisfaying results with non-operative treatment in patients with vertebrae compression fracture who have compression less than 40% and anterior compression angle less than 30 degres.

Keywords: Non-operative treatment.