Compensation mechanisms for post-traumatic thoracolumbar kyphosis

Objective. To identify the mechanism of deformity compensation in patients with post-traumatic kyphosis thoracolumbar junction, based on analysis X-ray results surgical treatment. Material and Methods. The study included data obtained from medical records 69 (47 women, 22 men) operated for painful at levels T12, L1 L2 vertebra. Patients underwent staged interventions a single session. Demographic treatment were evaluated. Results. As result interventions, (LK) was corrected to an average 1.9°. After correction kyphosis, statistically significant changes parameters sagittal spinal curvatures revealed: increase thoracic (TK), decrease lumbar lordosis (LL), including due lower (LowLL). At same time, spinopelvic balance (PT, SS) did not change. Statistically correlations (p < 0.001) detected between magnitude local (LK preOP-LKpostOP), which amounted 33.63° ± 8.77°, ΔLL, ΔTK ΔPI-LL. Parameters global pelvic show correction. Group I (without signs initial imbalance) II (with revealed difference (GT) SS, LowLL), both before after intervention junction area, despite comparable indicators kyphosis,. Conclusion. main includes departments adjacent kyphosis: lordosis, rather than or balance.