Fluoroscopically-guided indirect posterior reduction and fixation of thoracolumbar burst fractures without fusion
| Autor: | Jinhui Shi, Huilin Yang, Tiansi Tang, Daniel Gehling, Sravanthy Pataparla, Nabil A. Ebraheim, Jiayong Liu |
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| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Cobb angle medicine.diagnostic_test business.industry medicine.medical_treatment Neurological status Lumbar vertebrae Surgery Fixation (surgical) medicine.anatomical_structure Spinal fusion Thoracic vertebrae Orthopedic surgery Medicine Fluoroscopy Orthopedics and Sports Medicine business |
| Zdroj: | International Orthopaedics. 33:1329-1334 |
| ISSN: | 1432-5195 0341-2695 |
| DOI: | 10.1007/s00264-008-0626-8 |
| Popis: | This article presents an evaluation of fluoroscopy for indirect, posterior reduction and fixation of thoracolumbar burst fractures. A prospective study of 25 patients with thoracolumbar burst fractures who underwent C-arm machine-guided posterior indirect reduction and short segment fixation without fusion is described. No laminotomies were performed. All patients had a mean follow-up of 30.4 months. At postoperative review, the average anterior and posterior vertebral heights were corrected from 57.9% to 99.0% and 89.0% to 99.5%, respectively. The Cobb angle was corrected from 18.4° to 0.17°. The canal compromise ratio was improved from 35.2% to 8.6%. In all 25 cases, neurological status was intact at last follow-up. Fluoroscopy guidance is an effective method to accomplish indirect reduction and fixation. Reduction was confirmed on lateral fluoroscopic views by looking for a “one-line sign,” which is the reconstitution of the posterior border of the vertebral body. |
| Databáze: | OpenAIRE |
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