[Unsuccessful operative treatment of acute thoracic and thoracolumbar injuries with neurologic deficit].

OBJECTIVE

To analyze the main factors for unsuccessful operative treatment of acute thoracic and thoracolumbar injuries with neurologic deficit.

METHODS

82 patients with acute thoracic and thoracolumbar injuries with neurologic deficit who had had unsuccessful operations in other hospitals were reviewed. Clinical materials and radiographs including plane and functional films and CT scans were analyzed.

RESULTS

In the 82 patients 30 had unsuccessful reduction or spinal deformity, and 31 canal encroachment. In 12 pedicle screws located out of the pedicle, 2 penetrated the canal and 3 pressed against the aorta. 41 patients who complained back pain, 16 had mechanical spinal instability, and 3 neurological instability.

CONCLUSION

The main factors for unsuccessful operative management include inappropriate selection of surgical indications and inaccurate use of surgical technique.