Fluoroscopically-guided indirect posterior reduction and fixation of thoracolumbar burst fractures without fusion.
Int Orthop
; 33(5): 1329-34, 2009 Oct.
Article
em En
| MEDLINE
| ID: mdl-18661132
ABSTRACT
This article presents an evaluation of fluoroscopy for indirect, posterior reduction and fixation of thoracolumbar burst fractures. A prospective study of 25 patients with thoracolumbar burst fractures who underwent C-arm machine-guided posterior indirect reduction and short segment fixation without fusion is described. No laminotomies were performed. All patients had a mean follow-up of 30.4 months. At postoperative review, the average anterior and posterior vertebral heights were corrected from 57.9% to 99.0% and 89.0% to 99.5%, respectively. The Cobb angle was corrected from 18.4 degrees to 0.17 degrees . The canal compromise ratio was improved from 35.2% to 8.6%. In all 25 cases, neurological status was intact at last follow-up. Fluoroscopy guidance is an effective method to accomplish indirect reduction and fixation. Reduction was confirmed on lateral fluoroscopic views by looking for a "one-line sign," which is the reconstitution of the posterior border of the vertebral body.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fusão Vertebral
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Vértebras Torácicas
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Fluoroscopia
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Fraturas da Coluna Vertebral
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Fraturas por Compressão
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Fixação Interna de Fraturas
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Vértebras Lombares
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article