TRANSPEDICULAR SHORT-SEGMENT FUSIONS FOR TREATMENT OF LUMBAR BURST FRACTURES

被引:58
作者
MCNAMARA, MJ
STEPHENS, GC
SPENGLER, DM
机构
[1] Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN
来源
JOURNAL OF SPINAL DISORDERS | 1992年 / 5卷 / 02期
关键词
LUMBAR BURST FRACTURES; SHORT-SEGMENT FUSIONS; TRANSPEDICULAR INSTRUMENTATION;
D O I
10.1097/00002517-199206000-00006
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 13 patients who underwent decompression and transpedicular instrumentation for lumbar burst fractures is presented. Average follow-up was 22.5 months. Eighty-four percent of patients reported little or no pain at follow-up. Sixty-nine percent of patients returned to full preinjury activity. Radiographic review demonstrated an average postoperative progression of kyphosis of 8.7%. Anterior vertebral body height was unchanged between preoperative evaluation and follow-up. Although short-segment posterior transpedicular instrumentation with VSP plates did not reestablish or maintain anatomic alignment of the lumbar spine after burst fractures, the clinical outcome was excellent.
引用
收藏
页码:183 / 187
页数:5
相关论文
共 12 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] Denis F., The three column spine and its significance in the classification of acute thoracolumbar injuries, Spine, 8, pp. 817-831, (1983)
  • [3] Dickson J.H., Harrington P.R., Erwin W.D., Results of reduction and stabilization of the severely fractured thoracic and lumbar spine, J Bone Joint Surg [Am], 60, (1978)
  • [4] Erickson D.L., Leider L.L., Brown W.E., One stage decompression-stabilization for thoracolumbar fractures, Spine, 2, (1977)
  • [5] 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)
  • [6] Kaneda K., Abumi 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)
  • [7] Mc Afee P.C., Bohlman H.H., Complications following Harrington instrumentation for fractures of the thoracolumbar spine, J Bone Joint Sitrt
  • [8] [Am], 67, pp. 672-686, (1985)
  • [9] Phillips D.L., Brick G.W., Spengler D.M., A comparison of Harrington rod fixation with and without segmental fixation for unstable thoracolumbar injuries, J Spinal Disord, 1, pp. 151-161, (1988)
  • [10] Quencher R.M., Montalvo B.M., Eismont J.F., Et al., Intraoperative spinal sonography in thoracic and lumbar fractures: Evaluation of Harrington rod instrumentation, Am J Neuroradiol, 6, (1985)