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01-04-2016 | Original Article

Post-trauma scoliosis after conservative treatment of thoracolumbar spinal fracture in children and adolescents: results in 48 patients

Authors: Audrey Angelliaume, Aurore Bouty, Jérôme Sales De Gauzy, Jean-Marc Vital, Olivier Gille, Louis Boissière, Clément Tournier, Stéphane Aunoble, Jean-Roger Pontailler, Yan Lefèvre

Published in: European Spine Journal | Issue 4/2016

Abstract

Purpose

Authors examined a case series of patients younger than 18 years old who had sustained a traumatic thoracolumbar spine fracture to evaluate radiological and clinical findings of coronal spinal balance, after conservative treatment.

Methods

From 1996 to 2014, a tricentric cohort of 48 patients with an average age of 12 years was radiographically reviewed at 50 months. Cobb angle of fractured vertebra and regional Cobb angle were measured both at baseline and follow-up. Analyses were done according to initial Risser grade, number of fractures and level of injury.

Results

There was a total of 11 scoliosis. In group with Risser grade 3 or above, with a single vertebral fracture and lumbar fracture, final regional Cobb angle was statistically higher than initial regional Cobb angle.

Conclusions

The prevalence of scoliosis in our population is higher than those of idiopathic scoliosis; Risser grade 3 or above, lumbar fracture and a single fracture seem to account for more severe coronal deformation.

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Title: Post-trauma scoliosis after conservative treatment of thoracolumbar spinal fracture in children and adolescents: results in 48 patients
Authors: Audrey Angelliaume
Aurore Bouty
Jérôme Sales De Gauzy
Jean-Marc Vital
Olivier Gille
Louis Boissière
Clément Tournier
Stéphane Aunoble
Jean-Roger Pontailler
Yan Lefèvre
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 4/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3744-6

At a glance: The STEP trials

Springer Medicine

Post-trauma scoliosis after conservative treatment of thoracolumbar spinal fracture in children and adolescents: results in 48 patients

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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