Özet:

Objective: The purpose of this study was to evaluate the long-term clinical, functional, and radiological outcomes of operative and non-operative treated patients with thoracolumbar fracture. Materials and Methods: Between January 2016 and December 2021, data of patients hospitalized in our clinic due to thoracolumbar (T11-L2) fracture were collected and analyzed. Results: Two hundred eighteen patients met the inclusion criteria. One hundred thirty eight patients (63.3%) were operated and 80 patients (36.7%) were treated with nonsurgical methods. The duration of follow-up ranged from 13 to 82 months. There was a significant difference between the first admission oswestry disability index (ODI) and visual analog scale (VAS) and the final visit ODI and VAS when both operative and nonoperative treatment patients were evaluated separately and when evaluated together. The scores at the last control visit were significantly lower than the initial scores (p<0.001). When the fracture level was compared with the ODI and VAS, a significant difference was observed in the ODI score at the first admission (p=0.03). The ODI score at first admission was highest in patients with T11 fractures and lowest in patients with L2 fractures. There was a significant correlation between the “Anterior Vertebral Body Compression Percentage %” and four-vessel cerebral angiography (p<0.001). Conclusion: Patients with high vertebral depression and low functionality were operated, and regardless of the treatment protocol, pain decreased and functionality increased in all patients. The height of the vertebral corpus affects the angle of kyphosis, and surgical management is needed for the kyphotic deformity. Patients with high thoracolumbar fractures were more painful.

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