Anterior-Only Stabilization of Three-Column Thoracolumbar Injuries

Sasso, Rick C.; Best, Natalie M.; Reilly, Thomas M.; McGuire, Robert A.

doi:10.1097/01.bsd.0000137157.82806.68

Cited by 119 publications

(94 citation statements)

References 42 publications

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“…Various intellectuals have reported that the occurrence ratio of lumber fractures is lesser in female patients. Similarly, thefindings of our research have also revealed the same phenomenon because 71% male patients were affected by SCREW TECHNIQUE OUTCOMES 721 5 lumber fractures as compared to that of 29 % comprising of female patients. Erozlu, Ozturk, and Aydinili also discussed the resembling results in their research for lumbar spine burst fractures and theaverage age of observed population was 12.5±4 years (Range_UL15-LL79).…”

Section: -23supporting

confidence: 63%

Screw Technique Outcomes; Burst Fractures of Lumber Region and Posterior Pedicle

Anwer¹,

Ali

Irfan

2017

TPMJ

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Objective: The objective of this research was to study a selected population of patients closely and carefully who have lumbar burst fractures and were cured with pedicle screw fixation method. The objective of this study was to judge this technique through surgical results, radiographic outcomes and secondary disease complicacy for the period of surgery and after it. Setting: Neurosurgery departments in Nishtar Hospital, Multan and SH. zayed Hospital, Rahim Yar Khan. Period: December 2013 to August 2016. Study Design: Descriptive Case Series. Methods: Group of 100 successional patients who were operated through posterior arrangement through a posterior pedicle Screw Fixation technique. In this sample of population, 71 men and 29 women were selected; the average age of sample population was 36 years. From this study, the Patients having osteoporotic, delayed vertebral body collapse were left out. The average study duration of these patients was 30 months. Examination of Surgery effects like operation duration, loss of blood and sagittal position was done. Neurological valuation was done via an evaluation scheme basing on "the American Spine Injury Association impairment scale". The study examined inter-body fusion by the use of CT scans and simple X-ray. Results: The average duration of operation was recorded as 255.6 minutes and the average blood loss was recorded as 885.4ml. 64/86, i.e. 64 out of 86 patients having neurological injury (74.41%) recuperated functioning after surgery. The numbers of Methodological failure were recorded at a smaller scale of 11% and rate of fusion, following surgical operation reached the level of 89%. Conclusions: Due to posterior pedicle screws fixation, surgeons have accomplished short segment fixation which could become a beneficial apparatus for fixing lumbar burst fractures. Key words:Posterior instrumentation; Surgical outcomes; Lumbar burst fractures; Prospective study.

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Section: -23supporting

confidence: 63%

Screw Technique Outcomes; Burst Fractures of Lumber Region and Posterior Pedicle

Anwer¹,

Ali

Irfan

2017

TPMJ

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“…The anterior approach to the thoracolumbar spine was first developed by Hodgson and Stock, who advocated it primarily for the drainage of tuberculous abscesses (Sasso et al, 2005). The retroperitoneal approach to the thoracolumbar spine for the decompression of late, malunited burst fractures, usually those associated with kyphotic deformity and canal encroachment, was developed by Bohlman (Fontijne et al, 1992).…”

Section: Discussionmentioning

confidence: 99%

“…The retroperitoneal approach can be used to place fixation screws as high as L2. Fractures of L2 and L3 are managed using a subdiaphragmatic retroperitoneal approach (Sasso et al, 2005). Attempting screw placement into L1 is hindered by the superior margin of the wound and may result in screws being placed obliquely rather than parallel to the endplates.…”

Section: Discussionmentioning

confidence: 99%

Relationship between the angle of vertebral screws and spinal lateral angulation after fixation of thoracolumbar fractures via an anterior approach

Gong

et al. 2014

Genet. Mol. Res.

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“…[1][2][3][4][5] Anterior approach provides a more direct and complete decompression of the spinal canal, potentially allowing a better neurological outcome. 6 So surgical corpectomy of the compromised anterior column requires reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Anterior Thoracolumbar Fusion with Titanium Mesh Cage

et al. 2008

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Destructions of vertebral body due to various medical situations including acute fracture, tumor, post-traumatic deformity and infection lead to progressive destruction of vertebral body, kyphotic deformities and further neurological defecits. Titanium mesh cages (TMCs) with cancellous autograft bone after corpectomy of the thoracolumbar spine provide immediate structural support to the anterior column. The aim of this study was to evaluate the radiological, neurological and clinical outcomes of the patients with the TMCs-bone graft composite after thoracolumbar corpectomy. Sixteen patients underwent reconstruction using titanium mesh cages in thoracolumbar corpectomy between July 2000 and February 2005. The radiological and clinical course was documented over a mean follow-up duration of 28.2 months. The degree of kyphosis, construct height and the subsidence of the cage in relation to the vertebral endplates were measured preoperatively, early postoperatively, and at the latest follow-up. The mean kyphotic angle of 3.9 o before surgery was reduced to −2.6 o immediately after surgery, and at the last follow-up to be 3.4o . There was a significant difference between the preoperative versus postoperative kyphotic angle (p=0.003). The mean construct height of the involved vertebrae before surgery was 41.6 mm and the mean construct height immediate after surgery and at follow-up were 47.9 and 41.5 mm, respectively. There was a significant difference between the preoperative versus postoperative construct height (p＜0.0001). But there was no significant difference between the preoperative versus follow-up in kyphotic angle and construct height. The mean subsidence was 5.7 mm. However, there was no case of severe collapse or significant recurrence of deformity. In no patients, significant neurological deterioration was detected after surgery, and neither with major complications. This study demonstrated that TMCs after thoracolumbar corpectomy is a successful adjunct for anterior vertebral column reconstruction. In our cases, TMCs with anterior instrumentation allows a good structural support and maintain spinal alignment.

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Anterior-Only Stabilization of Three-Column Thoracolumbar Injuries

Cited by 119 publications

References 42 publications

Screw Technique Outcomes; Burst Fractures of Lumber Region and Posterior Pedicle

Screw Technique Outcomes; Burst Fractures of Lumber Region and Posterior Pedicle

Relationship between the angle of vertebral screws and spinal lateral angulation after fixation of thoracolumbar fractures via an anterior approach

Anterior Thoracolumbar Fusion with Titanium Mesh Cage

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