POSTEROLATERAL DECOMPRESSION FOR TREATMENT OF VERTEBRAL BURSTFRACTURES
Journal Title: Journal of Turkish Spinal Surgery - Year 1993, Vol 4, Issue 2
Abstract
Primary aim for treatment of vertebral burst fractures is to decompress, stabilise and fuse involved segments. Direct decompression may be accomplished either by anterior or posterior approaches. Posterolateral decom-pression, firstly described by Erickson in 1977, is a method vvhich allovvs both decompression and stabilisation in a single cession. Twenty-two patients (16 men. 6 women mean age 23 years) were treated in SSK İstanbul Hos-pital llnd Orthopaedics and Traumatology Clinic from October 1991 t o May 1994 by using posterolateral decompression, stabilisation, and fusion operations. Except of one patient ali the fractures were in thoracolumbar region, predominantly at first lumbar vertebrae (58 I percent). Narrovving of canal diameter 30 percent or more and or presence of neurologic deficit were the indications for decision of operation. Neurologic deficit was detected in eight patients (6 at Frankel C level and 2 at Frankel D level). Mean percentage of canal occlusion measured by use of computerised axiai tomography (CAT) was 43.4 percent. Ali the patients were evaluated both clinically and radiologically in May 1994. Mean follow-up period was 24.3 months (5 to 30 months). For clinical assessment of patients. Deniş Pain and Work scale and for radiological evaluation percent of canal compromise local kyphosis angle, anterior body compression were used as parameters. Ali the patients with neurologic deficit shovved one or two Frankel level improvement at the latest follow-up. Mean percentage of canal compromise improvement was 28 percent. Complications were postoperative exitus for one patient, and deep wound infection for another patient. As a result we concluded that in vertebral fractures with neurological deficit posterolateral decompression is an alternative to anterior route. For neurologically intact patients effects of direct and indirect decompression methods should be kept in mind in the light of recently published articles about remodelation process.
Authors and Affiliations
Nikola AZAR, Cüneyt MİRZANLI, Mustafa CANİKLİOĞLU, H. R. GÜNGÖR, H. I. KUTLU
Keywords
Related Articles
- EP ID EP676216
- DOI -
- Views 138
- Downloads 0
THE VASCULARISED RIB GRAFT IN KYPHOSIS SURGERY ANALYSIS OF 10 CASES
In 10 cases a vascular is ed rib graft was used to bridge a kyphotic segment of the spine, as described by Rose in 1975 and Bradford in 1989. This technique was used in view of the better and faster consolidation of the...
BIOMECHANICAL COMPARISON OF INTACT VERSUS HEMILAMINECTOMY AND DISCECTOMY PERFORMED SPINE
Objective: This study aims to investigate the effects of hemilaminectomy and discectomy on the lumbar spine of the lamb by biomechanically comparing changes on motion segments between intact and hemilaminectomy discec...
Traumatic Atlanto-Axial Instability Treated by Magerl Technique. -Transarticular Screw Fixation
A lot of techniques for posterior fusion of the atlanto-axial joint, such as gallie or Brooks, have been reported. Transarticular screw fixation with posterior atlanto-axial fusion is good and reliable procedure repor...
PREVALENCE OF IDIOPATHIC SCOLIOSIS AND ITS CORRELATION WITH BACK PAIN
Idiopathic scoliosis is still not a well-known disease, despite a great deal of research into its incidence rate. These studies have generally consisted of research into its prevalence, and are based on screening tests i...
FLUOROSCOPY GUIDED TRANSFORAMINAL STEROID INJECTION ON CERVICAL RADICULAR PAIN
Purpose: The aim of this study is to evaluate the benefit rate of cervical radicular pain from fluoroscopy guided transforaminal cervical steroid injection. Materials-Methods: We collected data of 78 patients retr...