✔ Spinal fractures are frequently located at the thoracolumbar junction for biomechanical reasons ✔ The AO classification has gained widespread acceptance in Europe for the grading of thoracolumbar fractures: Type A: vertebral compression fractures; Type B: anterior and posterior column injuries with distraction; Type C: anterior and posterior element injury with rotation ✔ The initial focus of...

The objective of the present study was to investigate whether transpedicular bone grafting as a supplement to posterior pedicle screw fixation in thoracolumbar fractures results in a stable reconstruction of the anterior column, that allows healing of the fracture without loss of correction. Posterior instrumentation using an internal fixator is a standard procedure for stabilizing the injured ...

STUDY DESIGN Retrospective analysis. PURPOSE We evaluated the functional, neurological, and radiological outcome in patients with thoracic and thoracolumbar tuberculosis operated through the transpedicular approach. OVERVIEW OF LITERATURE For surgical treatment of thoracic and thoracolumbar tuberculosis, the anterior approach has been the most popular because it allows direct access to the ...

BACKGROUND To examine the survival function and prognostic factors of the adjacent segments based on a second operation after thoracolumbar spinal fusion. METHODS This retrospective study reviewed 3,188 patients (3,193 cases) who underwent a thoracolumbar spinal fusion at the author's hospital. Survival analysis was performed on the event of a second operation due to adjacent segment degenera...

RATIONALE Fixed thoracolumbar kyphosis with spinal stenosis in adult patients with achondroplasia presents a challenging issue. We describe the first case in which spondylectomy and minimally invasive lateral access interbody arthrodesis were used for the treatment of fixed severe thoracolumbar kyphosis and lumbar spinal canal stenosis in an adult with achondroplasia. PATIENT CONCERNS A 61-ye...

Chordomas are rare tumors from primitive notochord. They are usually located at sacrococcygeal region when it affects the spine. We present a case of giant chordoma in the thoracolumbar spine in Peru. A 43-year-old woman came to the hospital in Huanuco due to back pain and sensorymotor alterations in the lower limbs. Imaging confirmed an unresectable tumor involving the spine. Two years later, ...

Objectives: The study determined the radiological outcomes of short-segment vs. long-segment fixation thoracolumbar spine fractures.
 Materials and Methods: A total 322 patients (18 – 60 years) with fractures were included. Preoperative X-rays CT scans performed on all to determine integrity orientation pedicle. Cobb's approach was also used estimate kyphotic angle x-rays. posterior pedicl...

In thoracolumbar spinal fractures with posterior column injury for applying proper management, it is important to distinguish a flexion-distraction injury (FDI) from a three column burst fracture (BF) as in clinical examination, both may have a similar significant tenderness on direct spinal palpation. Careful attention to the comprehensive clinical examination and detailed imaging features are...

Aging is associated with alterations in thoracolumbar curvatures and respiratory function. Research information regarding the correlation between thoracolumbar curvatures and a comprehensive examination of respiratory function parameters in older adults is limited. The aim of the present study was to examine the correlation between thoracolumbar curvatures and respiratory function in community-...