ANTERIOR DECOMPRESSION AND STABILIZATION OF THORACOLUMBAR BURST FRACTURES BY THE USE OF THE SLOT-ZIELKE DEVICE

被引：56

作者：

BEEN, HD

机构：

[1] Academical Medical Centre Amsterdam, Department of Orthopaedic Surgery, Amsterdam

来源：

SPINE | 1991年 / 16卷 / 01期

关键词：

Anterior decompression; Loss of reduction; Slot-Zielke device;

D O I：

10.1097/00007632-199101000-00013

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Between July 1983 and November 1986, 29 patients with thoracolumbar burst fractures underwent a one-stage operation consisting of anterior decompression by subtotal vertebrectomy, reduction, and stabilization with the Slot-Zielke device. The mean follow-up was 3.1 years. Most patients with incomplete neurologic lesions showed postoperative improvement and were upgraded one or two steps in the Frankel scale. No patient showed neurologic deterioration after surgery. In all patients, bony union occurred. Loss of reduction of more than 5-degrees occurred in 41% of the patients. Because of this high rate of loss of reduction in patients and the low degree of flexion-bending loading and torsional stability in biomechanical evaluation in vitro of the Slot-Zielke device on human cadaveric spines, an additional posterior stabilization of the spine after an anterior approach for anterior- and middle-column fractures should be considered.

引用

页码：70 / 77

页数：8

共 36 条

[1]

Aebi M., EtterC, Kehl Th, Thalgott J: Stabilization of the lowerthoracic and lumbar spine with the internal spinal skeletal fixation system, Spine, 12, pp. 544-552, (1987)

[2]

Akkerveeken Van P.F., O'Brien J.P., Park W., Experimentally induced hypermobility in the lumbar spine, Spine, 4, pp. 236-241, (1979)

[3]

Been H.D., Slot G.H., Indications, Techniques and Results'of the Surgical Treatment of Thoracolumbar Spine-Fractures with the Slot-Zielke-system, Die Wirbelsäule in Forshung Und Praxis, pp. 96-104, (1988)

[4]

Bohlman H.H., Freejfel A., Dejak J., Spinal cord injuries: Late anterior decompression of spinal cord injuries, J Bone Joint Surg, 57 A, (1975)

[5]

Bohlman H.H., Treatment of fractures and dislocations of the thoracic and lumbar spine, J Bone Joint Surg, 67 A, pp. 165-169, (1985)

[6]

Denis F., Spinal instability as defined by the three-column spine concept in acute spinal trauma, Clin Orthop, 189, pp. 65-77, (1984)

[7]

Denis F., Armstrong F., Searls B., Matta B., Acute thoracolumbar burst fractures in the absence of neurologic deficit: A comparison between operative and nonoperative treatment, Clin Orthop, 189, pp. 142-150, (1984)

[8]

Dewald R., Burst fractures of the thoracic and lumbar spine, Clin Orthop, 189, pp. 150-162, (1984)

[9]

Dick W., Innere Fixation Von Brust- Und Lendenwirbelfrakturen, pp. 80-92, (1987)

[10]

Dick W., The "fixateur interne” as a versatile implant for spine surgery, Spine, 12, pp. 882-900, (1987)

← 1 2 3 4 →