Minimum 5-Year Follow-up of Anterior Column Structural Allografts in the Thoracic and Lumbar Spine

Experience in surgical treatment of 11 patients (1998-2008) with complicated compression fractures of the thoracic and lumbar spine vertebral bodies on the background of osteoporosis has been presented. Mean age of patients was 58 years (from 37 to 74 years). The treatment consisted of the adequate decompression of spinal canal followed by correction and multilevel fixation of the spine with CDI system. Decision on the fixation extent was made with regard for the degree of bone mineral density and vertebral body injury. Follow up period made up 1-10 years. Long term treatment results were assessed clinically and roentgenologically. Correction of kyphosis was noted in all cases. In the late period slight loss of the achieved correction (within 12°) was observed but the patients did not complained of spinal pains. In patients operated on in early terms (up to 2 months) after neurologic complications development the more rapid regress of neurologic symptoms was noted. It was shown that differentiated approach to the choice of surgical technique enabled to achieve favorable results.

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Ten-year follow-up results of posterior instrumentation without fusion for traumatic thoracic and lumbar spine fractures

Journal of Orthopaedics ◽

10.1016/j.jor.2016.06.021 ◽

2016 ◽

Vol 13 (4) ◽

pp. 301-305 ◽

Cited By ~ 2

Author(s):

Ozcan Kocanli ◽

Baran Komur ◽

Tahir Mutlu Duymuş ◽

Bulent Guclu ◽

Barış Yılmaz ◽

...

Keyword(s):

Lumbar Spine ◽

Posterior Instrumentation ◽

Spine Fractures ◽

Thoracic And Lumbar Spine

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

Journal of Neurosurgery ◽

10.3171/jns.1993.79.3.0335 ◽

1993 ◽

Vol 79 (3) ◽

pp. 335-340 ◽

Cited By ~ 23

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.

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A Minimally Invasive Open Approach for Reconstruction of the Anterior Column of the Thoracic and Lumbar Spine

Minimally Invasive Spine Surgery ◽

10.1007/3-540-29490-2_24 ◽

2006 ◽

pp. 215-221

Author(s):

B. Knowles ◽

I. Freedman ◽

G. Malham ◽

T. Kossmann

Keyword(s):

Lumbar Spine ◽

Minimally Invasive ◽

Anterior Column ◽

Open Approach ◽

Thoracic And Lumbar Spine

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THORACOLUMBAR BURST FRACTURE: STRUCTURAL CHANGES AND CLINICAL OUTCOME OF TREATMENT

Coluna/Columna ◽

10.1590/s1808-185120161501150411 ◽

2016 ◽

Vol 15 (1) ◽

pp. 68-72

Author(s):

Rodrigo Arnold Tisot ◽

Juliano Silveira Luiz Vieira ◽

Orley Fauth Tisot ◽

Renato Tadeu dos Santos ◽

Augusto Alves Badotti ◽

...

Keyword(s):

Lumbar Spine ◽

Clinical Outcome ◽

Neurological Deficit ◽

Spinal Canal ◽

Structural Changes ◽

Life Questionnaire ◽

Burst Fractures ◽

Sf 36 ◽

Thoracic And Lumbar Spine

ABSTRACT Objective: To evaluate the correlation between structural changes in burst fractures of thoracic and lumbar spine with clinical outcome of the treatment. Methods: A retrospective study in 25 patients with fractures of thoracic and lumbar spine burst fractures without neurological deficit. Eleven patients underwent conservative treatment and for the remaining the treatment was surgical. All patients were followed up for at least 24 months. The cases were evaluated by a protocol that included: posttraumatic measurement of kyphosis, vertebral body collapse and narrowing of the spinal canal, the visual analog scale of pain, and the quality of life questionnaire SF-36 at the follow-up. For statistical analysis, the significance level was 5% and the software SPSS 18.0 was used. Results: No statistically significant difference was observed when comparing the clinical outcomes of one treatment over another. Similarly, there was no statistically significant correlation between kyphosis and post-traumatic narrowing of the spinal canal with clinical worsening in the follow-up, regardless of the treatment used. We found a positive correlation (p<0.05) between initial collapse and SF-36 domains in both groups (operated and non-operated). Conclusion: There was no significant superiority of one treatment over the other, and no correlation was found between kyphosis and spinal canal narrowing in burst fractures of the thoracic and lumbar spine without neurological deficit. However, there was correlation between initial collapse and clinical outcome in some domains of the SF-36 questionnaire.

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