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Conservative treatment of thoracolumbar burst fractures: radiographic analysis of post-traumatic kyphosis

INTRODUCTION: the post-traumatic kyphosis is a complication reported after conservative treatment of thoracolumbar burst fracture. The majority of the series evaluates all subtypes of Magerl and discuss their findings based on the average loss of kyphosis during the follow-up. OBJECTIVE: evaluation of radiographic outcomes regarding kyphosis in patients with fractures subtype A3 of Magerl according to the average variation between individuals after follow-up of at least one year. METHODS: retrospective study with 36 patients treated with hyperextension cast or TLSO brace. The measurement of kyphosis was performed by means of Cobb method at the admission to the hospital and at the end of mean follow-up of 66 months. RESULTS: there was no statistical difference between the kyphosis before and after treatment (12.2° versus 13.4°, p=0.2544). CONCLUSION: the radiographic kyphosis at final follow-up and in the initial radiographs is similar in this group of patients.

Spinal fractures; Spinal fractures; kyphosis; Treatment outcome


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