Operative strategy of the thoracolumbar fracture dislocation.
- Author:
Yi-Jun KANG
1
;
Jin-Hai KONG
;
Guo-Hua LÜ
;
Bing WANG
;
Wan-Chun WANG
;
Jun WAN
Author Information
1. Department of Spine Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Female;
Fracture Fixation, Internal;
methods;
Humans;
Joint Dislocations;
etiology;
surgery;
Lumbar Vertebrae;
injuries;
surgery;
Male;
Middle Aged;
Spinal Fractures;
complications;
surgery;
Thoracic Vertebrae;
injuries;
surgery;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2007;32(1):148-152
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the operative strategy and clinical outcome of the thoracolumbar fracture dislocation.
METHODS:Forty-two patients with the thoracolumbar fracture dislocation were treated with anterior approach (10 patients), posterior approach (28 patients), and anterior combined with posterior approach (4 patients) in order to construct the stabilities of the spine. The ASIA grades were used to evaluate the recovery of the neurological function, and the improvement of the kyphosis deformities was evaluated by the cobb's angle post-operation.
RESULTS:All the patients had no complications of injury in the vascular and neurological system. The ASIA grades after the operation were superior to those of pre-operation, and the cobb's angle was rectified distinctly.
CONCLUSION:When appropriate operative strategies are adopted, thoracolumbar fracture dislocation can be treated with satisfactory outcome.
