The treatment of thoracolumbar burst fracture Progress.docVIP

 PAGE \* MERGEFORMAT 22 The treatment of thoracolumbar burst fracture Progress Of: Xiu Peng Wang Qing Pu Haibo Wang holding Wang Song [Keywords:] thoracolumbar; burst fracture; treatment progress. Thoracolumbar burst fracture caused more by the combination of violence, injuries are serious, complex performance as CT, MRI, and people injured in the emergence of mechanisms and morphological features in-depth understanding of treatment are to improve. Thoracolumbar at home and abroad burst fracture treatment of choice is no uniform standard, this retrospective analysis of literature through the thoracolumbar burst fracture of the progress of treatment were reviewed. Category 1 Traumatic spinal fracture is a common one, accounting for about 90% of thoracolumbar fractures, of which 10% to 20% of burst fractures. Thoracolumbar generally refers to the T11 ~ L2, located in the thoracic kyphosis lumbar lordosis behavior shift the turning point, when the subject axial load, burst open to the surrounding vertebrae, kyphosis, and broke into the spinal canal and intervertebral disc tissue blocks of fracture, fracture of the back lamina collapse and other accessories together in the spinal cord and nerve roots, and it suffered a momentary distraction and oppression , causing instantaneous damage, prevent the oppression of the late recovery of spinal cord function. Holdsworth [1] in 1963 proposed a two-pillar concept, before the longitudinal ligament, vertebral body and intervertebral disc, posterior longitudinal ligament to the anterior column, posterior composite structure for the post column. Denis [2] in two columns based on the concept put forward the concept of three columns, the spine is divided into before, during and after the three columns, namely, the anterior longitudinal ligament and vertebral body and intervertebral disc before the formation of the first half of vertebral column: the second half vertebral body and intervertebral disc, composed of