Anterior fixation of thoracolumbar traumatic spinal injuries

Ortopedia, traumatologia, rehabilitacja
Mariusz KalicińskiMaciej Tęsiorowski

Abstract

Traumatic spinal fractures require surgical treatment to restore the anatomical curvatures of the spine and release the nervous structures. However, uniform management guidelines have not been established and thus the literature includes papers focussing only on the posterior techniques as well as those assessing the anterior or anteroposterior approaches. This paper presents the outcomes of the treatment of spinal fractures with anterior and anteroposterior fixation. The study enrolled 48 patients. The age of the patients at the time of injury was 36.8 years on average and the mean follow-up period was 3.8 years. All the fractures were unstable and caused stenosis of the spinal canal lumen. We used anterior or combined anterior and posterior approaches with a titanium implant in all the cases. Radiological assessment involved determination of the monosegmental and bisegmental Cobb angle, and the neurological status was evaluated according to the Frankel classification. The mean post-traumatic monosegmental angle was -17.1°, compared to -9.1° post-operatively and -9.2° at followup. The bisegmental angle was -12.7° at baseline, -7.9° post-operatively, and -8° in the follow-up period. Neurological assessment showed no neurologica...Continue Reading

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