The Institutional Study Over on Traumatic Thoraco Lumbar Fracture out Come Based on Thoraco - Lumbar Injury Severity Scoring

Introduction: Traumatic thoraco-lumbar fracture is emerging incidence due to dynamic mechanism of injury. Road traffic accidents, fall from height are common mode of mechanism. In this study, Exclusive traumatic thoraco lumbar fracture patients were taken for study. After diagnosis patients get into the THORACO LUMBAR INJURY SEVERITY SCORING SYSTEM [TLISS].TLISS is scoring system component of imaging morphology, neurological involvement, and posterior ligaments complex integrity. The patients were categories into 1, 2 and 3 depending upon scoring. The score less than 4 are kept in category 1.Score 4 kept in category2. Score 7 to 10 patients kept in category 3. Among the categories patients, the score less than 4[category] can managed as conservative manure. Category 2 and 3 managed with surgical procedure either posterior pedicle screw fixation or anterior approach. The follow up was done at 4th week, 8th week, 12th week and 20 week period. The outcome was summarized. Aim of study: To evaluate various mode of injury, line of management, surgical approaches. And its complications, follow up outcome. Methods and Materials: This prospective study conducted in institute of neurosurgery, madras medical college, Chennai in 12 month duration with 20week post op follow-up with effect from Jan2018 to February 2019. Trauma patients were admitted in emergency department was taken for evaluation. Patients catogoriesed based on TLISS scoring.Category 2 and 3 patient were taken surgery within 10 to 15 days interval. Follow up done and outcome assessment base upon pain scoring, motor power improvement, autonomic function outcome. Result:The dynamic mode of injury plays a major role than static mode of injury. After periodical follow-up the outcome is good for category 1 patient with conservative management than category 2 and 3. Among surgical intervention patients those scoring 4 to 7, has better outcome than score above seven. Reference: Benzel E. Biomechanicso