Health Condition 1: null- The patients with single level Traumatic fractures(T11, T12 & L1)
Conditions
Interventions
Intervention1: Miniopen thoracotomy: The patients who fall in surgical group will undergo mini open-thoracotomy,diaphragm sparing corpectomy with end plated expandable titanium cage and screw rod con
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: Single level Traumatic fractures(T11, T12 & L1). Thoraco lumbar fractures who were treated elsewhere without proper workup upto 3 months. Patients who were unwilling initially for surgery who later developed instability up to one year.
Exclusion criteria
Exclusion criteria: Pathological fractures. Concomitant fractures in the vertebral column. Long standing fractures with pseudoarthrosis. Disabling co morbidities like lung pathology which would interfere with post op assessment of pulmonary function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post operatively these patients will be examined for 1) Restoration of saggital and coronal balance by digital X ray 2) Kyphotic correction, neurological deterioration by CT and MRI 3) Pulmonary function tests by mechanical spirometry 4) Restoration of diaphragmatic movements by Fluroscopy and USG on 12th post operative day, after 3 months, after 6 months and yearly thereafter upto 5 years. Timepoint: upto 5 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Restoration of saggital and coronal balanceTimepoint: 5 years | — |
Countries
India
Contacts
Public ContactBrig MN Swamy
AFMC Pune
Outcome results
None listed