APPLICATION OF POSTERIOR PLATING AND MODIFICATIONS IN THORACOLUMBAR SPINE INJURIES - INDICATION, TECHNIQUES, AND RESULTS

被引：71

作者：

DANIAUX, H ^{[1
]}

SEYKORA, P ^{[1
]}

GENELIN, A ^{[1
]}

LANG, T ^{[1
]}

KATHREIN, A ^{[1
]}

机构：

[1] UNIV INNSBRUCK,DEPT TRAUMATOL,A-6020 INNSBRUCK,AUSTRIA

来源：

SPINE | 1991年 / 16卷 / 03期

关键词：

THORACOLUMBAR INJURY; PEDICLE SCREW PLATING; TRANSPEDICULAR BONE GRAFTING; INTERBODY FUSION; ANGLE-STABLE PLATE SCREW DEVICE;

D O I：

10.1097/00007632-199103001-00018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Out of 281 patients with recent injuries to the thoracic and lumbar parts of the spine, 243 underwent posterior plating. Of these, 172 patients had an average follow-up of 3.2 years. The consecutive analysis of morphologic results led to modifications of the original Roy-Camille technique. In analogy to the system developed by Zielke for anterior derotation spondylodesis, plates were used in combination with VDS screws, threaded rods, and nuts, thus creating an implant with initial angle variability but final angle stability. The development of transpedicular reduction and cancellous bone grafting for the treatment of vertebral body fractures, later supplemented by transpedicular discectomy and intercorporal cancellous bone grafting, effected a significant improvement in the results of posterior plating. Although the use of traditional plating was followed by correction losses of 14-degrees, the loss could be reduced to less than 6-degrees by the new system, which nearly corresponds to the physiologic anatomy of the spine.

引用

页码：S125 / S133

页数：9

共 18 条

[1] Aebi M., Etter C., Kehl T., Thalgott J., The internal skeletal fixation system, Clin Orthop, 227, pp. 30-43, (1988)
[2] Bohler L., Die Technik Der Knochenbruchbehandlung, pp. 318-480, (1961)
[3] Daniaux H., Transpedikulärc Reposition und Spongiosaplastik bei Wirbelkörperbrüchen der unteren Brust- und Lendenwirbelsäule, Unfallchirurg, 89, pp. 197-213, (1986)
[4] Daniaux H., Beck E., Seykora P., Lang T., Genelin A., Stabilisierung Von Wirbelbriichen Des Thorakolumbalen Überganges Mit Einem Winkelstabilen Platten- Schrauben- Implantat in Verbindung Mit Einer Interkorporellen Spondylodese Und Spongiosaplastik, 11, pp. 66-70, (1989)
[5] Daniaux H., Seykora P., Lang T., Genelin A., Stabilization of spinal injuries with plates in combination with VDS- instrumentation, Suomen Orthop Traumatol, 12, pp. 93-97, (1989)
[6] Daniaux H., Seykora P., Beck E., Measurement for the Exact Description of Traumatic Deformities of Individual Vertebrae Or Motion Segments of the Thoracic and Lumbar Spine as Basis for a Computer Assisted Evaluation of X-Rays, pp. 355-367, (1989)
[7] Denis F., Spinal instability as defined by the three-column spine concept in acute spinal trauma, Clin Orthop, 189, pp. 65-76, (1984)
[8] Dick W., Innere Fixation Von Brust- Und Lendenwirbelfrakturen, (1987)
[9] Louis R., Les théories de l’instabilité, Rev Chir Orthop, 63, pp. 423-425, (1977)
[10] Magerl F., Der Wirbel-Fixateur Externe, Fixateur Externe, pp. 290-366, (1987)

← 1 2 →