Surgical Treatment of a Patient With Fracture-Dislocation in the Thoracic Spine

Multifactorial Analysis of Neurological Deterioration in Children With Spinal Trauma After Surgical Treatment

“…Resolution of symptoms may depend on these primary factors and the surgical activity. Not necessary primary contusion leads to the deficit development -it can also occur later due to vascular issues which are secondary to persistent ischemia [4].…”

“…One of the most significant injury pattern can be observed in patients with thoracic fractures and dislocations. This region is distinguished by its narrowness and lack of free space available for the cord [4] and even non-significant canal compromise can lead to significant problems.…”

“…Surgical treatment for all patients consisted of procedure aimed to restore canal clearance and stabilize injured segments: either only dorsal or combined approach was used with pedicle screw instrumentation as a primary type of implants [2,3,4]. Patients with complete paraplegia (type A) were operated from posterior approach to correct the deformity and stabilize an injured segment with metal device and at the same surgical session anterior approach was performed to clear the canal and replace the fractured vertebral body with Pyramesh filled with autologous bone.…”