1887
Volume 1998, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

Abstract

Twenty-one patients with unstable burst fractures of the thoracolumbar spine (T12-L3) were treated with narrow DC plates and 6.5mm cancellous pedicle screws. The number of levels instrumented in all patients were only one level above and one level below the fracture. Follow-up averaged 22 months (range 12-45 months). The correction of kyphotic angle in all patients averaged 6.1 degrees at follow-up, while in patients with fractures above L2 level 1.4 degrees, and in patients with fractures below L2 level 24 degrees.

The improvement of vertebral segment height for all patients averaged 5% of normal at follow-up, while in patients with fractures above L2 level 3%, and in patients with fractures below L2 level 11% The neurologic improvement averaged 1.7 Frankel grades (range, 1-3). The fixation was stable enough to allow early mobilization and rehabilitation. There were no screw breakage of implant failure, and solid fusion was obtained in all patients.

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References

  1. Aebi M., Etter C., Kehl T., Thalgott J. : Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system. Spine 12::1987:544551.
    [Google الباحث العلمي]
  2. Bradford D.S., McBride G.G. : Surgical management of thoracolumbar spine fractures with incomplete neurologic deficit. Clin Orthop 218::1987:201206.
    [Google الباحث العلمي]
  3. Daniaux H., Seykora P., Genelin A., Lang T., Kathrein A. : Application of posterior plating and modifications in thoracolumbar spine injuries: Indications, technique and results. 16::S Spine 1991:125133.
    [Google الباحث العلمي]
  4. Denis F. : The three column spine and its significance in the classification of acute thoracolumbar, spinal injuries. Spine 8::1983:817831.
    [Google الباحث العلمي]
  5. Dick W. : The ’Fixateur Interne’ as a versatile implant for spine surgery. Spine 12::1987:882900.
    [Google الباحث العلمي]
  6. Dick W., Kluger P., Magerl F., Woersdorfer O., Zach G. : A new device for internal fixation of thoracolumbar and lumbar spine fractures. The ’Fixateur Interne’, Paraplegia 23::1985:225232.
    [Google الباحث العلمي]
  7. Dunn H.K. : Anterior Spine Stabilization and decompression for thoracolumbar injuries. Orthop Clin North Am 11317::1986:119
    [Google الباحث العلمي]
  8. Frankel H.L., Hancock D.O., Hyslop G., et al.The value of postural reduction in initial management of closed injuries of the spine with paraplegia and tetraplegia: Part 1. Paraplegia 7::1969:179192.
    [Google الباحث العلمي]
  9. Gertzbein S.D., Court - Brown CM, Marks P. et al. The neurological outcome following surgery for spinal fractures. Spine 13:1988:641
    [Google الباحث العلمي]
  10. Hashimoto T., Kaneda K., Abumi K. : Relationship between traumatic spinal canal stenosis and neurologic deficit in thoracolumbar burst fractures. Spine 13::1988:12681272.
    [Google الباحث العلمي]
  11. Herndon W.A., Galloway D. : Neurologic return versus crosssectional area incomplete thoracolumbar spinal cord injuries. J Trauma 28::1988:680683.
    [Google الباحث العلمي]
  12. Jelsma R.R.: Surgical treatment of thoracolumbar spine fractures. Surg Neural 18::1982:156166.
    [Google الباحث العلمي]
  13. Krag M.H.: Biomechanics of thoracolumbar spinal fixation: A review. Spine 16::1991:S8499.
    [Google الباحث العلمي]
  14. Krompinger W.J., Frederickson B.E., Yuan H.A. : Conservative treatment of fractures of the thoracic and lumbar spine. Orthop Clin North Am 17::1986:161170.
    [Google الباحث العلمي]
  15. Magerl F.P. : Stabilization of lower thoracic and lumbar spine with internal skeletal fixation. Clin Orthop 189::1984:125141.
    [Google الباحث العلمي]
  16. Mullar M.E., Allgowar M., Schneider R., Willenegger H., Techniques recommended by the AO group: Manual of internal fixation 1979:Second edition. Springer-Verlag Berlin 305305.
    [Google الباحث العلمي]
  17. Roy ., Camille R., Saillant G., Berteaux D., Salgado V.: Osteosynthesis of thoracolumbar spine Fractures with metal plates screwed through the vertebral pedicles. Reconstr Surg Traumatol 15::1976:216.
    [Google الباحث العلمي]
  18. Roy ., Camille R., Saillant G., Magel C. : Internal fixation of lumbar spine with pedicle screw plating. Clin Orthop 203::1986:717.
    [Google الباحث العلمي]
  19. Sasso R.C., Cotler H.B., Reuben J.D. : Posterior fixation of thoracic and lumbar spine fractures using DC plates and pedicle screws. Spine 16::1991:S134139.
    [Google الباحث العلمي]
  20. Tator C.H., Duncan F.G., Edmonds V.E., Lapczak E.I., Andrews D.F. : Comparison of surgical and conservative management in patients with, acute spinal cord injury. Can J Neurol Sci 14::1987:6069.
    [Google الباحث العلمي]
  21. Willen J., Anderson J., Toomoka K., SinczekThe natural history of burst fractures at Thoracolumbar junction. Journal of Spinal Disorders 3::1990:3946.
    [Google الباحث العلمي]
  22. Wilmot C.B., Hall K.M.:. : Evaluation of acute surgical intervention in traumatic paraplegia. Paraplegia 71 24::1986:76
    [Google الباحث العلمي]
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