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Radiographic evaluation of sagittal collapse in Magerl type B thoracolumbar fractures

INTRODUCTION: the post-traumatic kyphosis is a complication reported after conservative treatment of thoracolumbar flexion fracture. Most of the series evaluates all subtypes of Magerl and discusses their findings based on the average loss of kyphosis during the follow-up. OBJECTIVE: to evaluate radiographic outcomes regarding kyphosis in patients with fractures of Magerl subtype B21 according to the average variation among individuals after follow-up of at least six months. METHODS: a retrospective study with 34 patients treated with hyperextension cast or TLSO brace. The measurement of kyphosis was performed by means of Cobb method at the admission in the hospital and at the end of the follow-up of approximately 84.5 months. RESULTS: there was no statistical difference between the kyphosis before and after treatment (14.18º versus 14.15º; (p=0.967). CONCLUSION: the radiographic kyphosis in the final follow-up and in the initial radiographies is similar in this group of patients.

Spinal fractures; Spinal fractures; Kyphosis; Treatment outcome


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