scholarly journals Anterior Column Reconstruction for Treatment of Failed Short Segment Pedicular Fixation in Thoracic and Lumbar Spine Fractures

2015 ◽  
Vol 15 (1) ◽  
pp. 5-14
Author(s):  
Khaled Hassan ◽  
Belal El Nady
Keyword(s):  
Lumbar Spine ◽  
Anterior Column ◽  
Spine Fractures ◽  
Short Segment ◽  
Thoracic And Lumbar Spine ◽  
Anterior Column Reconstruction

Short-segment compression instrumentation for selected thoracic and lumbar spine fractures: the short-rod/two-claw technique

1993 ◽  
Vol 79 (3) ◽  
pp. 335-340 ◽  
Author(s):  
Edward C. Benzel
Keyword(s):  
Lumbar Spine ◽  
Fracture Site ◽  
Spine Fractures ◽  
Short Segment ◽  
Content Type ◽  
Scoliotic Deformity ◽  
Spine Instrumentation ◽  
Thoracic And Lumbar Spine ◽  
Fine Print

✓ The short-rod/two-claw (SRTC) technique of spine instrumentation was recently introduced for the treatment of thoracic and lumbar spine fractures. The use of this technique in 10 patients harboring wedge compression or burst fractures of the thoracic or lumbar spine is described. Of three patients treated with the construct placed in a distraction mode, the average follow-up loss of angle (the difference between the immediate postoperative and follow-up midsagittal angle as measured on x-ray films) was 18.3°. Of the seven patients in whom the instrumentation was placed in a compression mode, the average observed loss of angle at follow-up examination was 1.6°. Two patients had a preoperative scoliotic deformity at the fracture site. and both deformities were exaggerated by the placement of the SRTC technique in compression. Although no patient experienced an adverse outcome and all achieved a solid fusion, the application of the SRTC technique of universal spine instrumentation in distraction was associated with an exaggerated loss of angle. Loss of angle and deformity exaggeration are not desirable and are preventable by strict patient selection and by applying the construct in a compression mode. It is emphasized that few patients are candidates for this form of instrumentation. When applicable. however, the advantages of decreased pain and stiffness and the elimination of the need for instrumentation removal make the SRTC and related short-segment techniques desirable alternatives to traditional methods of spinal fixation.

Early Clinical Results of Short Same-Segment Posterior Fixation in Thoracolumbar Burst Fractures

2018 ◽  
Vol 20 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Misbah Mehraj ◽  
Farid H. Malik
Keyword(s):  
Lumbar Spine ◽  
Sagittal Plane ◽  
Posterior Instrumentation ◽  
Body Height ◽  
Posterior Fixation ◽  
Spine Fractures ◽  
Short Segment ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures ◽  
Thoracic And Lumbar Spine

Background. We did a prospective study to study the efficiency of Short Segment Posterior Instrumentation using a Universal Spine System with incorporation of the fractured vertebra in post-traumatic thoracic and lumbar spine fractures. Material and methods. 25 cases in the age group of I5-50 years with thoracic and lumbar spine fractures were included in the study. The operative decision was made on the basis of instability of spine fractures with or without neurological deficit. Patients were followed up for an average period of twelve months, reporting for assessment at 3-monthly intervals. The final result was analyzed on the basis of neurological recovery as per Frankel’s Grading, spine stability as per kyphotic angle by Cobb’s method, vertebral body height and complications. Results. Post-operatively at the final follow-up visit, 36% patients had Frankel’s grade E neurological status. The mean sagittal plane kyphosis pre-operatively was 31.16°, which reduced to 21.52° post-operatively, which represents 30.93% reduction. Mean anterior body compression was 38.6°, which decreased to 23.4° post-operatively, corresponding to 15% increase. Conclusions. 1. Although conventional short segment posterior fixation (SSPF) has become an increasingly popular method of treatment of thoracolumbar burst fractures, providing the advantage of incorporating fewer motion segments in the fixation, a review of literature demonstrated that SSPF led to 9-55% incidence of implant failure and long term loss of kyphosis correction. 2. Short segment posterior fixation with pedicle fixation at the level of the fractured vertebra (short same-segment fixation) provides more biomechanical stability than traditional SSPF.

Adaptation and limitation of anterior column reconstruction for pyogenic spondylitis in lower thoracic and lumbar spine

2019 ◽  
Vol 24 (2) ◽  
pp. 219-223
Author(s):  
Kosei Nagata ◽  
Takeshi Ando ◽  
Hideki Nakamoto ◽  
So Kato ◽  
Katsuyuki Sasaki ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Anterior Column ◽  
Pyogenic Spondylitis ◽  
Thoracic And Lumbar Spine ◽  
Anterior Column Reconstruction

scholarly journals Minimal Invasive Percutaneous Fixation of Thoracic and Lumbar Spine Fractures

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Federico De Iure ◽  
Michele Cappuccio ◽  
Stefania Paderni ◽  
Giuseppe Bosco ◽  
Luca Amendola
Keyword(s):  
Lumbar Spine ◽  
Minimally Invasive ◽  
Minimal Invasive ◽  
Minimally Invasive Technique ◽  
Radiographic Evaluation ◽  
Invasive Technique ◽  
Spine Fractures ◽  
Percutaneous Fixation ◽  
Transpedicular Fixation ◽  
Thoracic And Lumbar Spine

We studied 122 patients with 163 fractures of the thoracic and lumbar spine undergoing the surgical treatment by percutaneous transpedicular fixation and stabilization with minimally invasive technique. Patient followup ranged from 6 to 72 months (mean 38 months), and the patients were assessed by clinical and radiographic evaluation. The results show that percutaneous transpedicular fixation and stabilization with minimally invasive technique is an adequate and satisfactory procedure to be used in specific type of the thoracolumbar and lumbar spine fractures.

Single-Stage Posterior Circumferential Stabilization Using Double Small Cages for the Treatment of Thoracic and Lumbar Spine Fractures

2020 ◽  
Vol 144 ◽  
pp. e701-e709
Author(s):  
Moon-Soo Han ◽  
Shin-Seok Lee ◽  
Seul-Kee Lee ◽  
Jae-Won Jang ◽  
Bong Ju Moon ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Single Stage ◽  
Spine Fractures ◽  
Thoracic And Lumbar Spine
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