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Master Thesis

Reconstruction vertébrale antérieure thoraco-lombaire par cage expansible : résultats cliniques et radiologiques d’une série continue de 44 cas à 5 ans de recul

Abstract : OBJECTIVE: To evaluate the long-term clinical and radiological results of thoracic and lumbar spine anterior reconstruction of the vertebral body with an expandable cage in traumatology. MATERIAL AND METHOD: A retrospective study about adult patients operated by a combined approach in thoracolumbar spine. The following clinical criteria were evaluated: Oswestry score, EVA score, SF12 score, return to activities (sportive and professional). The following radiological criteria were evaluated with EOS and CT-scan: regional kyphosis, bone fusion and sagittal parameters. A subgroup analysis according to the indication (fracture or pseudarthrosis) was performed. RESULTS: 44 patients were included between 2008 and 2016. The mean follow-up was 5 years. The average Oswestry score was 22%, the mean VAS pain was 2.7. The mean SF12PCS score was 40.7 and SF12MCS mean was 46.2. 81% of patients returned to work, 93% of patients returned to sport. The reduction loss was 4.3 °. Arthrodesis was obtained in 92.8% of cases. All the clinical evaluation criteria were significantly better in the group operated early for fracture compared to the pseudarthroses group. About the sagittal alignment: 26 patients were balanced, 12 were unbalanced compensated by pelvic retroversion, and 4 were unbalanced. CONCLUSION: Reconstruction surgery of the vertebral body by an anterior aproach gives good long term results with functional and quality of life scores allowing return to activities in the majority of cases. These results are significantly better if surgery is performed early.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01589559
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Submitted on : Tuesday, September 19, 2017 - 2:21:37 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM

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  • HAL Id : dumas-01589559, version 1

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Pierre Grobost. Reconstruction vertébrale antérieure thoraco-lombaire par cage expansible : résultats cliniques et radiologiques d’une série continue de 44 cas à 5 ans de recul. Médecine humaine et pathologie. 2017. ⟨dumas-01589559⟩

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