Clinical application of short-segment pedicle instrument and vertebroplasty for thoracolumar fractures
- VernacularTitle:后路切开复位短节段椎弓根内固定和椎体成形术治疗胸腰椎骨折
- Author:
Baoshan XU
;
Tiansi TANG
;
Caifang NI
- Publication Type:Journal Article
- Keywords:
Thoracic vertebrae;
Lumbar vertebrae;
Internal fixators;
Vertebroplasty
- From:
Chinese Journal of Trauma
1993;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To modify the posterior procedures for severe thoracolumar fractures. Methods Twenty-one patients of thoracolumbar fractures with over 40% of anterior compression were studied. After reduction and fixation with short-segment pedicle instrumentation was performed, the transpedicular vertebroplasty of the fractured vertebrae with injectable self-setting calcium phosphate cement was carried out under fluoroscopic guidance. All patients were checked with X-ray and CT scanning before and after operation. They were followed up for 4-23 months (average 13 months). Results All patients obtained successful surgery without neurological complications or foreign body response. On CT scanning, the fractured vertebrae were well augmented in 13 cases and insufficiently augmented in 4 cases. Slight extrusion of cement into paravertebral tissue occurred in 4 cases without clinical symptoms. All patients were perfectly recovered without notable correction loss or implant failure during the follow-up. Conclusions Reduction and fixation with short-segment pedicle instrumentation followed by vertebroplasty with injectable self-setting calcium phosphate cement is a promising procedure for severe thoracolumbar fractures.
