< Back Dr. Niyazi IGDE Education 2006 – 2012 : Selçuk University, Meram Faculty of Medicine — Medical Education 2013 – 2019 : Okmeydanı Training and Research Hospital — Residency in Orthopaedics and Traumatology Professional Interests Special interest in Orthopaedic Oncology https://www.leventhastanesi.com.tr/op-dr-niyazi-igde/ Oncologic Orthopaedics Previous Next

< Back Dr. Cemil AKTAN University of Health Sciences, Antalya Training and Research Hospital 📍 Antalya, Türkiye Education M.D., Dicle University Faculty of Medicine , 2011 Residency (Orthopaedics & Traumatology): University of Health Sciences, Antalya Training and Research Hospital — 2013–2018 Clinical Observership: Spine Surgery Unit, Istanbul University Faculty of Medicine — Apr 2024 – May 2024 Years Institution Role 2011–2012 Ceylanpınar State HospitalGeneral Practitioner 2012–2013 Ankara Kazan Community Health CenterGeneral Practitioner 2013–2018 University of Health Sciences, Antalya Training and Research Hospital Resident 2018–2019 Kayseri City Hospital 2019–2021 Ankara Kazan District State Hospital 2021–2023 Gaziantep Şehitkamil State Hospital 2023–Present University of Health Sciences, Antalya Training and Research Hospital Clinical Interests Spine Surgery Spine drcemilaktan@hotmail.com Previous Next

< Back Distal Femoral Osteotomy (DFO) Previous Next

< Back Adolescent Idiopathic Scoliosis Previous Next

< Back Dr. Serdar DEMIROZ He was born in 1983. He gratuated from Marmara University School of Medicine in 2009. Then, completed his residency at Haydarpasa Numune Education and Research Hospital in 2016 and became an Orthopaedics and Traumatology specialist. He has been at Rizzoli institute of Orthopaedics in Italy as an Orthopaedic Oncology Fellow and he is fellow of the European Board of Orthopaedics and Traumatology since 2023. He continuous his studies on orthopaedic oncology at Kocaeli University currently. Oncologic Orthopaedics serdardemiroz@hotmail.com Previous Next

< Back Humerus Shaft Fractures humerus-shaft-fractures-peds Previous Next

< Back Hamstring Injuries Previous Next

We can’t find the page you’re looking for This page doesn’t exist. Go to Home and keep exploring. Go to Home

< Back Dr. Ali KOC Burst Fractures A spinal burst fracture involves disruption of both the anterior and middle columns of the vertebral body under axial-compression load. Retropulsion of posterior wall fragments into the spinal canal is typical and may cause neurological injury through direct compression or secondary deformity. The thoracolumbar junction (T11–L2) is most often affected because it transitions from rigid thoracic to mobile lumbar segments. Common mechanisms include falls from height and motor-vehicle accidents. Clinical Features Sudden severe back pain and limited motion Possible neurologic deficit (paresthesia, weakness, paralysis) Local tenderness , paraspinal spasm, step deformity, or widened interspinous gap → posterior-ligamentous injury Always perform complete trauma survey to rule out associated injuries Neurological exam must include sensory, motor, reflex, and bulbocavernosus reflex evaluation 💡 Absence of bulbocavernosus reflex = spinal shock; hyperactive response = complete cord injury. Imaging X-ray (AP + Lateral) Loss of vertebral-body height, widened interpedicular distance, sagittal malalignment, spinous-process gap CT scan Defines bony detail, canal compromise, facet/pedicle/lamina fractures; essential for classification MRI Visualizes posterior-ligamentous complex (PLC) , spinal-cord edema, epidural hematoma, disc or soft-tissue injury; guides non-operative decision Classification & Decision Making AO / Magerl Classification for fracture morphology TLICS (Thoracolumbar Injury Classification and Severity Score) guides management ≤ 3 points: Conservative 4–5 points: Surgeon discretion ≥ 6 points: Surgical stabilization Conservative Treatment Indications Neurologically intact Kyphosis < 35° Vertebral-height loss < 50 % PLC intact Medically unfit for surgery Protocol Bed rest 4–12 weeks ± hyperextension brace Early mobilization under brace Serial X-rays (2 wk → 1 mo → 2 mo → 3 mo) Stop brace once alignment and pain stable Surgical Treatment Indications Goals: Unstable fracture, progressive neural deficit, kyphosis > 35°, height loss > 50% canal decompression, anterior/posterior column reconstruction spinal stabilization Approaches Posterior instrumentation → shorter time, less blood loss, good outcomes Anterior reconstruction → better kyphosis correction, less hardware failure Combined approach → selected cases with severe retropulsion Short vs long segment fixation: intermediate screw in the fractured body improves stability and fusion Minimally invasive (percutaneous pedicle screws) shows promising results for selected patients Clinical Pearls 💡 Intermediate screws through the fractured vertebra enhance construct rigidity and fusion rate. 💡 Posterior-ligamentous complex integrity is key determinant for non-operative management. 💡 Early mobilization in brace reduces pulmonary and thrombotic complications. References Dai LY et al. Conservative treatment of thoracolumbar burst fractures: long-term follow-up with load sharing classification. Spine (Phila Pa 1976). 2008;33:2536–2544. Cahueque M et al. Management of thoracolumbar burst fractures. J Orthop. 2016;13:278–281. Rockwood & Green’s Fractures in Adults, 10th ed. Previous Next

< Back Pediatric Spine Trauma edw Previous Next

< Back Timing of Surgery Timing of Surgery Previous Next

< Back Slipped Capital Femoral Epiphysis (SCFE) slipped-capital-femoral-epiphysis-scfe Previous Next