Transpedicular Fixation of Thoracolumbar Vertebral Fractures

Olerud, S; Karlström, Gunnar; Sjöström, Lennart

doi:10.1097/00003086-198802000-00007

Cited by 95 publications

(39 citation statements)

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“…Loss of RA during the remainder of the follow-up period accounted for 3.0º and 7.0º in the respective periods resulting in a complete return to the preoperative value. This recurrent kyphosis is comparable to the findings of Knop et al (10.1º in 16-59 months follow-up, mean 40 months) [15], but much more than those reported by Aebi et al and Olerud et al (3.6º in 12 months; 4º in 10 months) [2,20]. In a retrospective study, Crawford and Askin compared two historical groups of patients.…”

Section: Rasupporting

confidence: 88%

Thoracolumbar spinal fractures: radiological results of transpedicular fixation combined with transpedicular cancellous bone graft and posterior fusion in 183 patients

et al. 2001

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Section: Rasupporting

confidence: 88%

Thoracolumbar spinal fractures: radiological results of transpedicular fixation combined with transpedicular cancellous bone graft and posterior fusion in 183 patients

et al. 2001

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“…Therefore, complications occurring later on, or during the follow-up period, which are not analyzed Table 9 Summary of a survey [3] No (21/31) in our study, are taken into account in different ways in different studies [12,19,21,23,26,31,50,58,60]. When evaluating the studies, it must also be taken into account that some authors report on their own methods or instrumentation [14,15,18,31,53]. Details of the variability of operative treatment among the small group of spinal surgeons within the German Trauma Association were described by Bastian et al in a study based on a survey conducted in 1995 [3].…”

Section: Discussionmentioning

confidence: 99%

Complications in surgical treatment of thoracolumbar injuries

Knop¹,

Bastian

Lange³

et al. 2002

Eur Spine J

108

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IntroductionOperative treatment of thoracolumbar injuries has become increasingly important in recent years. The range of surgical methods, with their different ways of approach, grafts and techniques, however, remains wide [7,8,9,32]. Since spinal injuries are usually rather rare lesions, the literature presents evaluations only on small and incongruous groups of patients. Data about complications typical for these operations are hence mainly based on individual cases.In the present study, the authors present sources of error and specific complications based on their own experience and on the results of multicenter research conducted by the Spine Study Group of the German Trauma Association (DGU). The research was designed as a prospective study, carried out between 1994 and 1996, and included 682 patients operated on only for acute traumatic injuries of the thoracolumbar spine [32,33,34]. The results concerning the operative technique for the most frequently used procedure, posterior instrumentation with a transpedicularly fixed implant, are presented. Typical sources of error and possible complications during operations addressing the thoracolumbar spine can be divided according to the individual steps of the operation: AbstractThe range of surgical methods for operative treatment of thoracolumbar injuries, with their different ways of approach, grafts and techniques, remains wide. The authors present sources of error and specific complications based on their own experience and on the results of a multicenter study of the Spine Study Group of the German Trauma Association (DGU). A systematic overview of possible mistakes and complications is first presented in anatomical order. A detailed analysis is then presented of the complications reported in a multicenter study, carried out prospectively between 1994 and 1996, on 682 patients operated for acute traumatic injuries of the thoracolumbar spine. In 101 cases (15%) at least one complication occurred intra-or postoperatively. In 41 patients (6%) a revision was performed, and in 60 patients (9%) complications without operative revision were observed. These complications were analysed according to the chosen method of initial treatment.

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“…The use of internal fixation is well established for correction of scoliosis and stabilization of spine fractures and fracture dislocations (Dick 1987, Aebi et al 1988, Cotrel et al 1988, Olerud et al 1988 and is also gaining acceptance for stabilization of nontraumatic disorders. With addition of stable internal fixation to the lumbosacral fusion procedure, it can be assumed that the patient will obtain some relief of pain soon after the operation before the consolidation of the fusion.…”

Section: Discussionmentioning

confidence: 99%