[Anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture]

[Anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture] Research Abstract Details 

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[Anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture] Abstract Text:

Zhongming Ren,Caiyi Jing,Fei Pei,

OBJECTIVE: To explore the injury mechanism of the severe thoracolumbar burst fracture and the necessity of anterior decompression and reconstruction with internal fixation. METHODS: From January 1999 to January 2004, 21 patients were treated with anterior decompression and reconstruction. The fractures were located at T12 in 6 patients, L1 in 12, L2 in 4, L3 in 3,and L4 in 1. Four patients were treated with the "anterior approach" and "posterior approach" surgeries for severe column fractures. RESULTS: All the patients were restored to the normal physiological radian, and the spinal canal was decompressed completely. They were followed up for 1-6 years, and the bony fusion was observed radiologically. The spinal cord function was improved to the 1-3 Frankel grade in all the patients except 2. There were no such complications as leakage of the cerebrospinal fluid, plate-screw loosening or breaking, or segment instability. The clinical effects were satisfactory. CONCLUSION: The operation of the anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture has advantages of complete decompression, full bone-grafting, and firm internal fixation. It can restore the spinal height and improve the spinal cord function.

[Anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture] Publishing Authors By Initials

Z Ren,C Jing,F Pei,

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[Anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zhongguo xiu fu chong jian wai ke za zhi = Zhonggu

VOLUME: 20

Page Numbers: 397-9

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ISSN: 1002-1892

DAY: 10

MONTH: Apr

YEAR: 2006

[Anterior decompression and reconstruction with internal fixation for severe thoracolumbar burst fracture] Information

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LANGUAGE: chi

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AFFILIATION: Department of Orthopaedics, Armed Police Hospital of Zhejiang Province, Jiacing Zhejiang, 314000, PR China. RenZM@medmail.com.cn

Country: China

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MEDLINETA: Zhongguo Xiu Fu Chong Jian Wai

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