Thoracolumbar fractures: Three column stabilization through posterior only approach
نویسندگان
چکیده
منابع مشابه
Anterior-only stabilization of three-column thoracolumbar injuries.
OBJECTIVE The optimal treatment of "unstable" thoracolumbar injuries remains controversial. Studies have shown the advantages of direct anterior decompression of thoracolumbar injuries along with supplemental posterior instrumentation as a combined or staged procedure. Others have also shown success in decompression as a single-stage anterior procedure, largely limited to two-column (anterior a...
متن کاملThree column stabilization through posterior approach alone: transpedicular placement of distractable cage with transpedicular screw fixation.
The combination of anterior and posterior instrumentation provides the most stable repair for burst fractures of the thoracolumbar spine. However, the use of both approaches on a trauma patient may increase morbidity. Stabilization of three columns through only one approach can provide an effective outcome. We treated eight patients with burst fracture involving the thoracic or lumbar vertebrae...
متن کاملOutcome Of Two Column Acetabular Fractures Treated Operatively Through Single Posterior Approach.
BACKGROUND Involvement of both columns in acetabular fractures is a common presentation; these fractures create a challenging situation for the surgeons in terms of understanding the dimensions of osseous injury and selection of surgical approach. The study was done with an objective to evaluate the efficacy of single posterior approach for acetabular fractures involving both columns directly r...
متن کاملTreatment of Unstable Thoracolumbar Burst Fractures by Indirect Reduction and Posterior Stabilization: Short-Segment Versus Long-Segment Stabilization
In order to compare short-segment stabilization with long-segment stabilization for treating unstable thoracolumbar fractures, we studied fifty patients suffered from unstable thoracolumbar burst fractures. Thirty of them were managed with long-segment posterior transpedicular instrumentation and twenty patients with short-segment stabilization. The mean follow up period was 5.2 years. Pre-oper...
متن کاملValidity of the three-column theory of thoracolumbar fractures. A biomechanic investigation.
STUDY DESIGN This study validated the three-column theory of fractures by correlating the multidirectional instabilities and the vertebral injuries to each of the three columns, using a biomechanic trauma model. OBJECTIVES The objective was to validate the three-column theory as applied to the thoracolumbar fractures. SUMMARY OF BACKGROUND DATA The widely used three-column theory of fractur...
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ژورنال
عنوان ژورنال: Interdisciplinary Neurosurgery
سال: 2016
ISSN: 2214-7519
DOI: 10.1016/j.inat.2016.01.004