The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures

tanriverdi, bulent; HANCI, MURAT; Ünlü, Mehmet Can; bilsel, nafiz; AYDINGOZ, ONDER

doi:10.14744/tjtes.2021.99560

The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures

Bülent Tanrıverdi, (bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Sağlık Bilimleri Üniversitesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul,Türkiye)

Önder Aydıngöz, (istanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Mehmet Can Ünlü, (istanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Nafiz Bilsel, (istanbul Üniversitesi, Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

MEHMET MURAT HANCI (istanbul Üniversitesi, Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2022 Cilt: 28 Sayı: 6 Sayfa Aralığı: 857 - 862 Metin Dili: İngilizce DOI: 10.14744/tjtes.2021.99560 İndeks Tarihi: 08-11-2022

The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures

Öz:

BACKGROUND: The aim of the study was to investigate the relationship between the interpedicular distance increase ratio and the ratio of canal compromise in thoracolumbar burst fractures. METHODS: Thirty-one patients (18 male and 13 female) with an average age of 30.8 (14–57) who had been treated for thoraco- lumbar burst fractures in the Department of Orthopaedics and Traumatology were included in the study. The initial anteroposterior radiographs of the patients were used to calculate the increase ratio of interpedicular distance (both from medial-to-medial and from center-to-center). The area measurements from the computerized tomography or magnetic resonans images were used to calculate the canal compromise. The relationship between the increase ratio of interpedicular distance and the ratio of canal compromise was investigated by correlation and linear regression analysis. RESULTS: There was a “very good” correlation between the from medial-to-medial and from center-to-center measurements of interpedicular distance (Pearson correlation coefficient: 0.89, p<0.001). The correlation between the ratio of canal compromise and from medial-to-medial and from center-to-center measurements of interpedicular distance was “good” with Pearson correlation coef- ficients of 0.60 and 0.63, respectively (p<0.001). No statistically significant relationships were found between the fracture levels, types, neurologic status of the patients, and the increase ratio of interpedicular distance or the ratio of canal compromise. CONCLUSION: Depending on the correlation coefficients which were obtained in this study: To predict the canal compromise from the ratio of interpedicular distance increase is not a reliable method for all of the patients.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. An HS. Anatomy of the spine. In: An HS, editor. Principles and Tech- niques in Spine Surgery. Baltimore: Williams and Wilkins; 1998. p. 1–30.
2. Arıncı K, Elhan A. Anatomi. In: Arıncı K, Elhan A, editors. Anatomi. 2nd ed. Ankara: Güneş Kitabevi; 1997. p. 1–88.
3. Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976) 1983;8:817– 31.
4. Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop Relat Res 1984;189:65–76.
5. Farcy JP, Weidenbaum M, Glassman SD. Sagittal index in management of thoracolumbar burst fractures. Spine (Phila Pa 1976) 1990;15:958– 65.
6. Weidenbaum M, Farcy JP. Surgical management of thoracic and lumbar burst fractures. Bridwell KH, DeWald RL, editors. The Textbook of Spinal Surgery. 2nd ed., Vol. II. Philadelphia: Lippincott-Raven; 1997. p. 1839–80.
7. Fontijne WP, de Klerk LW, Braakman R, Stijnen T, Tanghe HL, Steen- beek R, et al. CT scan prediction of neurological deficit in thoracolumbar burst fractures. J Bone Joint Surg Br 1992;74:683–5.
8. Isomi T, Panjabi MM, Kato Y, Wang JL. Radiographic parameters for evaluating the neurological spaces in experimental thoracolumbar burst fractures. J Spinal Disord 2000;13:404–11.
9. Kifune M, Panjabi MM, Liu W, Arand M, Vasavada A, Oxland T. Func- tional morphology of the spinal canal after endplate, wedge, and burst fractures. J Spinal Disord 1997;10:457–66.
10. Lin RM, Panjabi MM, Oxland TR. Functional radiographs of acute tho- racolumbar burst fractures. A biomechanical study. Spine (Phila Pa 1976) 1993;18:2431–7.
11. Lin RM, Panjabi MM, Oxland TR. Significant roentgenographic param- eters for evaluating the flexibility of acute thoracolumbar burst fractures. An in vitro study. Int Orthop 1997;21:109–14.
12. Mehta JS, Reed MR, McVie JL, Sanderson PL. Weight-bearing radio- graphs in thoracolumbar fractures: Do they influence management? Spine (Phila Pa 1976) 2004;29:564–7.
13. Söyüncü Y, Yildirim FB, Sekban H, Ozdemir H, Akyildiz F, Sindel M. Anatomic evaluation and relationship between the lumbar pedicle and adjacent neural structures: An anatomic study. J Spinal Disord Tech 2005;18:243–6.
14. Keene JS, Fischer SP, Vanderby R Jr, Drummond DS, Turski PA. Sig- nificance of acute posttraumatic bony encroachment of the neural canal. Spine (Phila Pa 1976) 1989;14:799–802.
15. Lindahl S, Willen J, Irstam L. Computed tomography of bone frag- ments in the spinal canal. An experimental study. Spine (Phila Pa 1976) 1983;8:181–6.
16. Panjabi MM, Kifune M, Wen L, Arand M, Oxland TR, Lin RM, et al. Dynamic canal encroachment during thoracolumbar burst fractures. J Spinal Disord 1995;8:39–48.
17. Gertzbein SD, Crowe PJ, Fazl M, Schwartz M, Rowed D. Canal clear- ance in burst fractures using the AO internal fixator. Spine (Phila Pa 1976) 1992;17:558–60.
18. Hashimoto T, Kaneda K, Abumi K. Relationship between traumatic spinal canal stenosis and neurologic deficits in thoracolumbar burst frac- tures. Spine (Phila Pa 1976) 1988;13:1268–72.
19. Wessberg P, Wang Y, Irstam L, Nordwall A. The effect of surgery and remodelling on spinal canal measurements after thoracolumbar burst fractures. Eur Spine J 2001;10:55–63.
20. Yazici M, Gulman B, Sen S,Tilki K. Sagittal contour restoration and canal clearance in burst fractures of the thoracolumbar junction (T12-L1): The efficacy of timing of the surgery. J Orthop Trauma 1995;9:491–8.
21. Yazici M, Atilla B, Tepe S, Calisir A. Spinal canal remodeling in burst fractures of the thoracolumbar spine: A computerized tomographic com- parison between operative and nonoperative treatment. J Spinal Disord 1996;9:409–13.
22. Frank E, Bonsell S. The accuracy of anterior-posterior measurements in the assessment of spinal canal compromise in burst fractures. Neurol Res 1994;16:410–2.
23. Schönström N. The significance of oblique cuts on CT scans of the spinal canal in terms of anatomic measurements. Spine (Phila Pa 1976) 1988;13:435–6.
24. Ebraheim NA, Xu R, Darwich M, Yeasting RA. Anatomic relations be- tween the lumbar pedicle and the adjacent neural structures. Spine (Phila Pa 1976) 1997;22:2338–41.
25. Tacar O, Demirant A, Nas K, Altindağ O. Morphology of the lumbar spinal canal in normal adult Turks. Yonsei Med J 2003;44:679–85.
26. Ullrich CG, Binet EF, Sanecki MG, Kieffer SA. Quantitative assess- ment of the lumbar spinal canal by computed tomography. Radiology 1980;134:137–43.
27. Karantanas AH, Zibis AH, Papaliaga M, Georgiou E, Rousogiannis S. Dimensions of the lumbar spinal canal: Variations and correlations with somatometric parameters using CT. Eur Radiol 1998;8:1581–5

APA	tanriverdi b, AYDINGOZ O, Ünlü M, bilsel n, HANCI M (2022). The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. , 857 - 862. 10.14744/tjtes.2021.99560
Chicago	tanriverdi bulent,AYDINGOZ ONDER,Ünlü Mehmet Can,bilsel nafiz,HANCI MURAT The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. (2022): 857 - 862. 10.14744/tjtes.2021.99560
MLA	tanriverdi bulent,AYDINGOZ ONDER,Ünlü Mehmet Can,bilsel nafiz,HANCI MURAT The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. , 2022, ss.857 - 862. 10.14744/tjtes.2021.99560
AMA	tanriverdi b,AYDINGOZ O,Ünlü M,bilsel n,HANCI M The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. . 2022; 857 - 862. 10.14744/tjtes.2021.99560
Vancouver	tanriverdi b,AYDINGOZ O,Ünlü M,bilsel n,HANCI M The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. . 2022; 857 - 862. 10.14744/tjtes.2021.99560
IEEE	tanriverdi b,AYDINGOZ O,Ünlü M,bilsel n,HANCI M "The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures." , ss.857 - 862, 2022. 10.14744/tjtes.2021.99560
ISNAD	tanriverdi, bulent vd. "The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures". (2022), 857-862. https://doi.org/10.14744/tjtes.2021.99560

APA	tanriverdi b, AYDINGOZ O, Ünlü M, bilsel n, HANCI M (2022). The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. Ulusal Travma ve Acil Cerrahi Dergisi, 28(6), 857 - 862. 10.14744/tjtes.2021.99560
Chicago	tanriverdi bulent,AYDINGOZ ONDER,Ünlü Mehmet Can,bilsel nafiz,HANCI MURAT The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.6 (2022): 857 - 862. 10.14744/tjtes.2021.99560
MLA	tanriverdi bulent,AYDINGOZ ONDER,Ünlü Mehmet Can,bilsel nafiz,HANCI MURAT The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.6, 2022, ss.857 - 862. 10.14744/tjtes.2021.99560
AMA	tanriverdi b,AYDINGOZ O,Ünlü M,bilsel n,HANCI M The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(6): 857 - 862. 10.14744/tjtes.2021.99560
Vancouver	tanriverdi b,AYDINGOZ O,Ünlü M,bilsel n,HANCI M The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(6): 857 - 862. 10.14744/tjtes.2021.99560
IEEE	tanriverdi b,AYDINGOZ O,Ünlü M,bilsel n,HANCI M "The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.857 - 862, 2022. 10.14744/tjtes.2021.99560
ISNAD	tanriverdi, bulent vd. "The relationship between the ratio of interpedicular distance increase and the ratio of spinal canal compromise in thoracolumbar burst fractures". Ulusal Travma ve Acil Cerrahi Dergisi 28/6 (2022), 857-862. https://doi.org/10.14744/tjtes.2021.99560