A joint approach before and after treatment of severe thoracolumbar burst fractures.docVIP

 PAGE \* MERGEFORMAT 14 A joint approach before and after treatment of severe thoracolumbar burst fractures Of: Liu Jun, Xiang Liang Bi, Chen language, in Dragon, Yan Cao [Abstract] Objective To explore a joint approach before and after the posterior fixation, anterior decompression and internal fixation of thoracolumbar burst fractures with spinal cord and nerve damage in patients with clinical efficacy. Methods before and after a combined approach, posterior fixation Anterior fixation for the treatment of 10 patients with thoracolumbar burst fracture with spinal cord and nerve damage, and analysis of a joint operation before and after the advantages and disadvantages, indications and fixation methods. Results 10 patients have received effective decompression of the spinal canal The average follow-up 14 months, graft fusion good basic vertebral height restoration, Cobb’s angle was 17 preoperatively to return to 5 , Frankel grade, 4 cases a recovery and restore 2 in 3 cases, no changes in 3 cases. Conclusions after a combined approach, posterior fixation, anterior decompression and internal fixation is a decompression, reduction, internal fixation, bone fusion at one time an effective method to correct the deformity, reconstruction of spinal stability , but because of the larger surgical trauma, bleeding more, surgical indications should be strictly controlled. [Keywords:] thoracolumbar fractures; decompression; fixation [Abstract] Objective To discuss the effect of posterior fixation combined with anterior decompression and internal fixation for the treatment of thoracolumbar burst fracture with spinal cord and nerve injury.Methods Ten patients of thoracolumbar burst fracture combined with spinal cord and nerve injury were treated with combined anterior and posterior approach, and the advantages, disadvantages, indications and internal fixation method of the combined approach were analyzed.Results All patients achieved good spinal canal decompre