SEGMENTAL FIXATION OF LUMBAR BURST FRACTURES WITH COTREL-DUBOUSSET INSTRUMENTATION

被引:32
作者
STEPHENS, GC [1 ]
DEVITO, DP [1 ]
MCNAMARA, MJ [1 ]
机构
[1] VANDERBILT UNIV,MED CTR,DEPT ORTHOPAED & REHABIL,D-4208 MCN,NASHVILLE,TN 37232
来源
JOURNAL OF SPINAL DISORDERS | 1992年 / 5卷 / 03期
关键词
LUMBAR BURST FRACTURE; FIXATION; COTREL-DUBOUSSET INSTRUMENTATION;
D O I
10.1097/00002517-199209000-00013
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A retrospective review of 17 patients who underwent bilateral transpedicular decompression. instrumentation with a Cotrel-Dubousset construct. and posterolateral fusion with iliac crest bone graft for treatment of lumbar burst fracture is presented. All patients were followed to fusion with an average follow-up of 18.9 months. Fifteen of sixteen patients returned to preinjury occupation and/or activity. All patients reported good to excellent clinical results. The average postoperative progression of kyphosis was 11.9-degrees. There was no significant change in anterior vertebral height between the preoperative and postoperative periods. We conclude that although excellent early clinical results can be obtained using this operative strategy, the long-term effect of residual kyphosis at the fracture site is unknown.
引用
收藏
页码:344 / 348
页数:5
相关论文
共 10 条
[1]  
Cochran T., Irstam L., Nachemson A., Long-term anatomic and functional changes in patients with adolescent idiopathic scoliosis treated by Harrington rod fusion, Spine, 8, pp. 577-584, (1983)
[2]  
Cotrel Y., Dubousset J., New segmental posterior instrumentation of the spine, Orthop Trans, 9, (1985)
[3]  
Dickson J.H., Harrington P.R., Edwin W.D., Results of reduction and stabilization of the severely fractured thoracic and lumbar spine, J Bone Joint Surg, 60, (1978)
[4]  
Erickson D.L., Leider L.L., Brown W.E., One stage decompres-sion-stabilization for thoracolumbar fractures, Spine, 2, (1977)
[5]  
Greenwald T.A., Keene J.S., Results of Harrington instrumentation in type A and type B fractures, J Spinal Disorders, 4, pp. 149-156, (1991)
[6]  
Hayes M.A., Tompkins S.F., Herndon W.A., Gruel C.R., Kopta J.A., Howard T.C., Clinical and radiological evaluation of lumbosacral motion below fusion levels in idiopathic scoliosis, Spine, 13, pp. 1161-1167, (1988)
[7]  
Kaneda K., Abuma K., Fujiya M., Burst fractures with neurologic deficits of the thoracolumbar-lumbar spine. Results of anterior decompression and stabilization with anterior instrumentation, Spine, 9, (1984)
[8]  
Mc Namara M.J., Stephens G.C., Spengler D.M., Transpedicular short segment fusions for treatment of lumbar burst fracture, J Spinai Disorders, 5, pp. 183-187, (1992)
[9]  
Reid D.C., Hu R., Davis L.A., Saboe L.A., The nonoperative treatment of burst fractures of the thoraco-lumbar junction, J Trauma, 28, (1988)
[10]  
Weinstein J.N., Collalto P., Lehmann T.R., Long term follow-up of nonoperatively treated thoracolumbar spine fractures, J Orthop Trauma, 1, (1987)