Segmental fixation of lumbar burst fractures with Cotrel-Dubousset instrumentation
Autor: | Devito Dp, Stephens Gc, Michael J. Mcnamara |
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Rok vydání: | 1992 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Decompression Bone Screws Kyphosis Cotrel–Dubousset instrumentation Iliac crest Fixation (surgical) Lumbar Burst fracture Medicine Humans Retrospective Studies Bone Transplantation Lumbar Vertebrae business.industry Middle Aged medicine.disease Internal Fixators Surgery medicine.anatomical_structure Spinal Fusion Back Pain Orthopedic surgery Spinal Fractures Female Neurology (clinical) business Follow-Up Studies |
Zdroj: | Journal of spinal disorders. 5(3) |
ISSN: | 0895-0385 |
Popis: | 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. |
Databáze: | OpenAIRE |
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