PMID: 8581532Jan 1, 1995Paper

Thoracoscopic repair of thoracic spine trauma

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
H HertleinG Lob

Abstract

Modern concepts of treating thoracic and lumbar spinal trauma are based on posterior transpedicular fixation techniques which confer angular stability and instrument only a few levels of the spine. In addition, to prevent secondary losses in postoperative reduction of kyphotic deformities, transpedicular resection of torn discs, and inter- and intracorporeal bone grafting are included in the repair procedures for the entire damaged motion segment. However, due to the small size of the pedicles, a transpedicular approach to the injured vertebral body is not possible in the upper thoracic spine. Patients whose thoracic spine trauma is not serious enough to require ventral instrumentation through open thoracotomy, but who present with an unstable vertebral fracture, may profit from additional ventral bone grafting to stabilize the fracture. The present study examined the feasibility of thoracoscopic ventral bone grafting in seven patients with unstable fractures of the upper thoracic spine. For primary repair, we stabilized the fracture by using posterior transpedicular screw systems (rods or plates). Simultaneously, spongiosa was harvested from the posterior iliac crest and deepfrozen. Repair was completed a few days later via a ...Continue Reading

References

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Jan 1, 1994·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·S AkalmM Tüzüner
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Citations

Aug 5, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Markus SchultheissErich Hartwig
Nov 25, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M SchultheissH-J Wilke
Dec 7, 2002·Journal of Spinal Disorders & Techniques·Boris ZelleChristian Krettek
Nov 4, 2006·Annals of Surgical Oncology·Benjamin UlmarKlaus Huch
Aug 5, 2008·Neurosurgical Focus·Justin S SmithRichard G Fessler
Apr 25, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Christina OttoThomas Paffrath
Oct 3, 2006·Neurosurgery Clinics of North America·Ciaran J Powers, Robert E Isaacs
Jan 11, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·B UlmarH Reichel
May 3, 2006·The Spine Journal : Official Journal of the North American Spine Society·Gregory P LekovicCurtis A Dickman
Apr 29, 2004·Neurosurgery·Eric M HornCurtis A Dickman
Nov 19, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Junxin ZhangTao Liu

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