Blog Elements – Page 50 – Trauma International

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Editorial – 10 years of Traumacon!!

April 10, 2017/in Volume 3 | Issue 1 | Jan-April 2017

Vol 3 | Issue 1 | Jan – Apr 2017 | page:1-2 | Dr. Sushrut Babhulkar and Dr. Ashok K Shyam Author: Sushrut Babhulkar [1], Ashok K Shyam [2,3] [1] Sushrut Institute of Medical Sciences,Research Centre & Post-Graduate Instt of Orthopedics,Central Bazar Road,Ramdaspeth,Nagpur,INDIA 400 010. [2] Indian Orthopaedic Research Group, Thane, India. [3] Sancheti Institute […]

Clinical and radiological outcome of Thoracolumbar fractures treated by Transpedicular Fixation

January 10, 2017/in Volume 3 | Issue 1 | Jan-April 2017

Vol 3 | Issue 1 | Jan – Apr 2017 | page: 38-45 | Suresh Babu Surapaneni, Venkata Suresh Babu Tummala, Ravikanth Makkena Author: Suresh Babu Surapaneni [1], Venkata Suresh Babu Tummala [1], Ravikanth Makkena [2] [1] Department of Orthopaedics, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India. [2] […]

Editorial – 10 years of Traumacon!!

April 10, 2017/in Volume 3 | Issue 1 | Jan-April 2017

Clinical and radiological outcome of Thoracolumbar fractures treated by Transpedicular Fixation

January 10, 2017/in Volume 3 | Issue 1 | Jan-April 2017

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Editorial – 10 years of Traumacon!!

April 10, 2017/in Volume 3 | Issue 1 | Jan-April 2017

Vol 3 | Issue 1 | Jan – Apr 2017 | page:1-2 | Dr. Sushrut Babhulkar and Dr. Ashok K Shyam

Author: Sushrut Babhulkar [1], Ashok K Shyam [2,3]

[1] Sushrut Institute of Medical Sciences,Research Centre & Post-Graduate Instt of Orthopedics,Central Bazar Road,Ramdaspeth,Nagpur,INDIA 400 010.
[2] Indian Orthopaedic Research Group, Thane, India.
[3] Sancheti Institute for Orthopaedics &Rehabilitation, Pune, India.

Address of Correspondence
Dr. Suhrut Babhulkar
Sushrut Institute of Medical Sciences,Research Centre & Post-Graduate Instt of Orthopedics,Central Bazar Road,Ramdaspeth,Nagpur,INDIA 400 010
Email: sushrutdsurgeon@gmail.com

Editorial: 10 years of Traumacon!!

Traumacon is arguably the biggest trauma conference in India. It was started in 2007 and has completed 10 years in 2017. It is a proud moment for the entire Traumacon organisers and Trauma Society of India (TSI). TSI was started 15 years back with Dr DD Tanna as president and Dr Sudhir Babhulkar as Secretary and ably supported by Dr GS Kulkarni and Dr SC Goel. In those days, arthroplasty, arthroscopy and spine were considered as major specialities of Orthopaedics, while trauma was considered as one of basic units of orthopaedics. Following the trend, there were speciality conferences only in arthroscopy, arthroplasty, spine and also in paediatric orthopaedics but no dedicated conference for trauma existed. TSI took on itself to develop the faculty of trauma in India and with that premise in focus a dedicated trauma conference ‘Traumacon’ was conceived. A proper pattern of the conference was established and the first conference was planned in Mumbai. This was a runaway success and support from the entire orthopaedic faculty was tremendous. Dr Sushrut Babhulkar, Dr Sunil Kulkarni and Dr Amit Ajgaonkar took responsibility of making Traumacon the event of the year in Trauma Calendar of all orthopaedic surgeons.
Traumacon differs a lot from other orthopaedic conferences. At times there is criticism that TSI is a much closed door society and this is in fact true and deliberate. This is done to maintain proper ethics and code of conduct. The core group is involved passionately in all aspects of Traumacon and take decision in terms of scientific program and faculty. At the end of every Traumacon, the preparation for next meeting starts with review of all faculty and comments from delegates are reviewed. The plan for the next year is chalked immediately at the end of one meet after deep scientific and academic deliberations among the core group of TSI. This helps in maintaining the continuity and also improve quality year after year.
Another factor that makes Traumacon different is that the focus of the entire conference in on the delegates. We want our delegates to be exposed to every aspect of orthopaedic trauma, right from the very basic to the latest advancements. Practical sessions and case discussions are aimed to improve the practical knowledge of the delegates and to make difference in their clinical practice. Many delegates have reported that they have significantly changed their operative practices after attending Traumacon and that is the real reward of organising the conference
Principles of trauma surgery are undergoing rapid development along with development of new implants. Rural India is still lacking in good trauma education and surgeons are in need of updating their surgical techniques as well as surgical principles. Needs of these surgeons are specifically addressed in Traumacon and all faculty are passionate to provide practical answers any questions raised by the delegates. This will help in improving the trauma care that the patient receive even in the remotest part of the country. TSI is also conducting the current concepts in trauma symposiums across the country to meet this very aim.
TSI has also worked in the area of academics by affiliating with Thieme and writing guidelines on various areas of orthopaedic trauma. These books are given complimentary to all Traumacon delegates and they can refer these books as an when they need. TSI has also affiliated with the best journal of trauma in the world ‘Injury’ and an Indian supplement is released during Traumacon 2017. Trauma International is also affiliated to TSI and a special issue of the Journal is released every year at Traumacon.
All these activities of TSI and Traumacon have reinvigorated the interest of young orthopaedic surgeons in Trauma and they now look at trauma surgery with more respect. In short TSI has succeeded in promoting trauma as a speciality of Orthopaedics and now many surgeons feel proud in calling themselves trauma surgeons. In future too, TSI and Traumacon will continue its focus on faculty of orthopaedic trauma, academics and newer developments in the area and continue to provide an international platform to all Trauma Surgeons across the country.

How to Cite the article: Babhulkar S, Shyam AK. 10 years of Traumacon. Trauma International. Jan – April 2017;3(1):1-2.

(Abstract) (Full Text HTML) (Download PDF)

Clinical and radiological outcome of Thoracolumbar fractures treated by Transpedicular Fixation

January 10, 2017/in Volume 3 | Issue 1 | Jan-April 2017

Vol 3 | Issue 1 | Jan – Apr 2017 | page: 38-45 | Suresh Babu Surapaneni, Venkata Suresh Babu Tummala, Ravikanth Makkena

Author: Suresh Babu Surapaneni [1], Venkata Suresh Babu Tummala [1], Ravikanth Makkena [2]

[1] Department of Orthopaedics, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India.
[2] Department of Orthopaedics, ASM Medical College, Eluru, West Godavari, Andhra Pradesh, India.

Address of Correspondence:
Dr. Suresh Babu Surapaneneni,
Suresh Ortho & Multispeciality Clinic, 56-2-18, Koneru Satyanarayana Street,
Canara Bank Road, Patamata, Vijayawada – 520 010, Andhra Pradesh, India.
Phone: +91-9440219597. Tel.: +0866-2474797.
E-mail: drssureshbabu@yahoo.com

Abstract

Background: The injuries involving the spinal cord are generally challenging to manage. The aim of this study was to analyze and compare the clinical including neurological and radiological outcome of thoracolumbar burst fractures treated by short segment and long segment transpedicular instrumentation and posterolateral fusion.
Methods: 34 patients with or without neurological deficit were studied. Gaines scoring, American Spinal Cord Injury Association impairment scale was used for study.
Results: The mean intra-operative correction of K-angle in the short segment group was 14.68° and the loss of correction observed at the last follow-up evaluation was 6.62° with a final gain of 8.06°. The mean intra-operative correction in the long segment group was 19.76° and the loss of correction observed at the last follow-up evaluation was 6.61°. Final gain was 13.15°. On radiological evaluation of wedge angle, mean correction loss of 3.87 degrees and 3.4% implant failure was noted in the short segment group while the long segment group had 1.53 degrees of mean correction loss and no implant failure. There was no positive correlation found between Gaines score with progression of deformity. Neurological Outcome in the short segment group four grades of improvement was found in 1 patient, three grades in 1 patient, two grades in 2 patients and one grade in 6 patients. In the long segment group, three grades of improvement were found in 3 patients, two grades in 2 patients and one grade in 2 patients. 1 of the grade D patient showed improvement within the grade and 3 patients did not show any improvement. Average ASIA motor score improved with treatment from 28.31 to 39.56 points (11.25 points) in short segment group and from 19.91 to 28.46 points (8.55 points) in long segment group.
Conclusion: Transpedicular fixation is a stable, reliable and less surgically extensive construct for addressing thoracolumbar burst fractures. About 6-8° loss of correction was observed with both short and long segment stabilizations in our study. Long segment has better results in terms of maintenance of reduction and final gain. The length of instrumentation does not seem to have any effect on the neurological outcome.

Key Words: Thoracolumbar fractures, Clinical, Radiological outcome.

References

1. Instructional Course Lecture AAOS: Diagnosis and management of thoracolumbar spine fractures. JBJS Vol. 85A: Number 12: Dec. 2003.
2. Harrington PR, Tullos HS. Reduction of severe spondylolisthesis in children. South Med J 1969; 62-1-7.
3. Steffee AD, Biscup RS, Sitowski DJ. Segmental spine plates with pedicle screw fixation- a new internal fixation device for disorders of the lumbar and thoracolumbar spine. Clin orthop 1986; 203: 45-53.
4. Mirjanli et al: Comparison of Transpedicular fixation configurations in Burst fractures of thoracolumbar vertebra. Turkish Spine Journal. Vol. 6, No. 3 Year 1995.
5. Louis et al: Posterior approach with Louis plates for fractures of the thoracolumbar and lumbar spine with and without Neurological deficits. Spine 1998;23(18):2030-2039. .
6. Parker et al: Successful short segment instrumentation and fusion for thoracolumbar spine fractures. A consecutive 4 1/2 year series. Spine volume 25, Number 9, Pg 1157-1169.
7. Gertzbein SD, Brown CMC et al: The neurological outcome following surgery for spinal fractures. Spine 13: 641-644, 1988.

How to Cite this article: Surapaneni SB, Tummala VSB, Makkena R. Clinical and Radiological Outcome of Thoracolumbar Fractures Treated by Transpedicular Fixation. Trauma International Jan-Apr 2017; 3(1): 38-45.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Editorial – 10 years of Traumacon!!

Clinical and radiological outcome of Thoracolumbar fractures treated by Transpedicular Fixation

Editorial – 10 years of Traumacon!!

Clinical and radiological outcome of Thoracolumbar fractures treated by Transpedicular Fixation

Full Sized Blog Element (Big Preview Pic)

Editorial – 10 years of Traumacon!!

Author: Sushrut Babhulkar [1], Ashok K Shyam [2,3]

Editorial: 10 years of Traumacon!!

Clinical and radiological outcome of Thoracolumbar fractures treated by Transpedicular Fixation

Author: Suresh Babu Surapaneni [1], Venkata Suresh Babu Tummala [1], Ravikanth Makkena [2]

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

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