Surgical Treatment of Fractures of the Dorso-lombar Spine

Completed

• Conditions: Spine Fracture
• Interventions: Procedure: Osteosynthesis

• Registration Number: NCT06374472
• Lead Sponsor: Ibn Jazzar Hospital

Brief Summary

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rare The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads ly the vital prognosis

Detailed Description

Trauma to the thoracolumbar spine is responsible for potentially serious lesions, most often involving the functional prognosis in the short, medium and long term, and rarely the vital prognosis .

The thoracolumbar spine has an extended transition zone between the tenth thoracic vertebra (T10) and the second lumbar vertebra (L2): the thoracolumbar hinge which, given its particular anatomical situation between a poorly mobile thoracic segment and a dynamic lumbar segment, is the predilection for occurrence of fractures and dislocations .

The frequency of these traumas is explained by falls from high places, especially during work accidents or suicide attempts, but also by the perpetual increase in accidents on public roads.

The analysis of the lesion mechanism and its consequences depends on the understanding of the classification of these lesions which are essential for therapeutic conduct .

Surgical treatment constitutes a key element in the management strategy for these fractures

Study Timeline

• Study Start: 2018-01-01
• Primary Completion: 2022-01-01
• Study Completion: 2022-01-01
• Status Verified: 2024-04
• Study First Submitted: 2024-04-15
• Study First Submitted QC: 2024-04-16
• Last Update Submitted: 2024-04-16
• Study First Posted: 2024-04-18
• Last Update Posted: 2024-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• the files of patients hospitalized for a recent fracture of the thoracolumbar spine within 12 months

Exclusion Criteria

• Files with insufficient follow-up, patients lost to follow-up. patients presenting: A pathological fracture. Osteoporotic collapse. Material and Methods 3 Staged trauma to the spine. A fracture due to ankylosing spondylitis

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
80 cases of thoracolumbar spine fractures	Osteosynthesis	-

Primary Outcome Measures

Name	Time	Method
Sex	from enrollment to the end of treatment at 4 years	Our series is characterized by a significant male predominance, it included 47 men (58.75%) and 33 women (41.25%), with a sex ratio of 1.42
Neurological status ( Frenkel classification)	from enrollment to the end of treatment at 4 years	3 Frankel A patients, 1 Frankel B patient, 6 Frankel C patients and 6 Frankel D
Age (in years)	from enrollment to the end of treatment at 4 years	average age of our patients was 38.25 years with extremes of 16 years and 68 years

Trial Locations

Locations (1)

IBN jazzar hospital; 🇹🇳 Kairouan, Tunisia