Anterolaateral Surgical Decompression and Instrumentation in Thoracolumbar Bursting Fracture.
10.12701/yujm.1996.13.2.234
- Author:
Jang Ho BAE
- Publication Type:Original Article
- Keywords:
Thoracolumbar fracture;
Spinal decompression;
Kaneda internal fixation devide
- MeSH:
Back Pain;
Congenital Abnormalities;
Conus Snail;
Decompression;
Decompression, Surgical*;
Humans;
Internal Fixators;
Ribs;
Spine
- From:Yeungnam University Journal of Medicine
1996;13(2):234-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ten patients with a thoracolumbar spine fractures were treated with Kaneda internal fixation device through anterolateral approach during last 1 year. In all cases, spinal decompression, internal instrument fixation and bone fusion with rib were performed. No patient showed neurological deterioration after surgery and 6(60%) patients improved postoperatively with entering the next Frankel subgroup. Follwo-up patient evaluation showed the correction of the fracture deformity with good bony fusion, but 3 patient are remained back pain. According to above results we concluded that anterolateral internal fixation combined.with bone fusion using rib was good mechanical stability and decompression of protruding ventral bone fragments above conus medullaris level.