Fluoroscopically-guided indirect posterior reduction and fixation of thoracolumbar burst fractures without fusion
- 26 July 2008
- journal article
- Published by Springer Science and Business Media LLC in International Orthopaedics
- Vol. 33 (5), 1329-1334
- https://doi.org/10.1007/s00264-008-0626-8
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° to 0.17°. 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.Keywords
This publication has 39 references indexed in Scilit:
- Ethical issues at the interface of clinical care and research practice in pediatric oncology: a narrative review of parents' and physicians' experiencesBMC Medical Ethics, 2011
- Communication about Children's Clinical Trials as Observed and Experienced: Qualitative Study of Parents and PractitionersPLOS ONE, 2011
- Reasons for participating and genetic information needs among racially and ethnically diverse biobank participants: a focus group studyJournal of Community Genetics, 2011
- Promoting recruitment of minority ethnic groups into research: qualitative study exploring the views of South Asian people with asthmaJournal of Public Health, 2011
- Parental comprehension and satisfaction in informed consent in paediatric clinical trials: a prospective study on childhood leukaemiaArchives of Disease in Childhood, 2010
- Facilitating the Recruitment of Minority Ethnic People into Research: Qualitative Case Study of South Asians and AsthmaPLoS Medicine, 2009
- How do parents experience being asked to enter a child in a randomised controlled trial?BMC Medical Ethics, 2009
- Treatment of unstable thoracolumbar junction burst fractures with short- or long-segment posterior fixation in magerl type a fracturesEuropean Spine Journal, 2007
- Complication Avoidance: Thoracolumbar and Lumbar Burst FracturesNeurosurgery Clinics of North America, 2006
- Management of unstable thoracolumbar spinal injuries by posterior short segment spinal fixationInternational Orthopaedics, 2006