Unstable XXXX of the thoracolumbar spine: a 10-year experience at Sacr  -Coeur Hospital.

@entity1 @entity174 @entity51 @entity158 @entity717 @entity62 @entity85
In a 10-year period, 108 unstable @entity174 involving the thoracolumbar junction (T11 to L2) were treated. This study evaluates the influence of the different treatments on the rate of complication, reduction of the @entity174 , and neurological recovery. METHODS: mechanism of injury, initial treatment and delay, @entity51 , operative findings, and duration of hospitalization were recorded. X-rays were reviewed for classification of @entity174 , measurement of deformity, and for instability scoring according to @entity62 . Seventy-seven @entity1 were examined and nine more interviewed by telephone. RESULTS: a @entity717 occurred in 65% and a @entity174 in 29%. A laminectomy was performed in 30 @entity1 and Harrington instrumentation and fusion in 71 @entity1 . Sixteen @entity1 were treated conservatively. Fifty-five @entity1 presented either a complete or partial @entity51 . Seventy-five complications were noted and were more frequent in the laminectomy group. The instrumented group showed a clear tendency for earlier ambulation and discharge and @entity158 level was found to be less. An @entity85 was found in @entity1 treated by laminectomy, short fusion, and by nonsurgical modality. The neurologic recovery in the laminectomy and the nonlaminectomy group was not significantly different. Spinal realignment was better in the group where an instrumentation of five levels or more was performed and where posterior elements were not removed by laminectomy.
