The Ewha Medical Journal
Ewha Womans University School of Medicine
Original Article

A Clinical Study of the Thoraco-Lumbar Spine Fractures and Fracture-Dislocations

Jin Man Wang
Corresponding author: Jin Man Wang. Department of Orthopaedic Surgery, Ewha Womans University, College of Medicine, Korea.

Copyright ⓒ 1983. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

The rate of the spine fracture tends to be increased as the rate of traffic and industrial accidents are increased. One hundred and fifteen thoracolumbar spine fractures and fracture-dislocations out of 81 patients were evaluated from March, 1976 to September, 1981 treated at the Department of Orthpaedic Surgery of Ewha University Hospital. 1. The majority(64.1%) of the spine fracture was found in the age group of 20 to 50 years. 58% of the cases were coused by fall down injury. There was no difference between sex. 2. Most common site of the lesion occured getween T12 and L2 vertebrae(65.2%) and flexion fracture(56%) was most common. 3. Thirteen cases of the total were complicated by paraplegia, of which 76.9% was caused by rotational frecture-dislocation. 4. Prognosis for neurological recovery in initially complete lesion was poor, regardless of treatment. About 15% initially complete lesion showed complete recovery and 47% showed incomplete recovery.