Confirmation of the posterolateral technique to decompress and fuse thoracolumbar spine burst fractures.

Abstract:

:A posterolateral technique to decompress retropulsed bone from the spinal canal has been employed in nine patients, confirmed with intraoperative canal inspection and pre- and postoperative computed axial tomographic (CAT) evaluation. This technique has allowed reduction of retropulsed bony elements from the spinal canal, assessment of canal decompression and reestablishment of vertebral body alignment. The approach permits posterior fusion at the same operation. If the postoperative CAT scan continues to show spinal cord embarrassment from anterior bony elements, an anterior approach can be performed for additional decompression and fusion. The posterolateral approach does not necessarily improve neurologic function. However, when compared with posterior instrumentation alone, it does help ensure canal reduction and alignment, which may aid recovery and hasten rehabilitation.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Garfin SR,Mowery CA,Guerra J Jr,Marshall LF

doi

10.1097/00007632-198504000-00005

subject

Has Abstract

pub_date

1985-04-01 00:00:00

pages

218-23

issue

3

eissn

0362-2436

issn

1528-1159

journal_volume

10

pub_type

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