Journal of Musculoskeletal Trauma

Original Articles

Change of Canal Compromise After Ligamentotaxis in Thoracolumbar Burst Fracture: Kyu Jung Cho, Min Suk Yang; J Korean Soc Fract 1996;9(3):759-766. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.759

Abstract PDF: Twenty-one patients with burst fracture of the thoracolumbar spine were treated by posterior pedicle screw instrumentation and fusion. We assessed canal compromise using CT fcan preoperatively and its restoration shortly after instrunientation lot confirmation of effect of lisamentotafis. The amount of neurologic recovery in each patient was compared to the final area of the spinal canal. The mean initial canal compromise was 42.6% and this was reduced to 16.2% postoperatively. The mean sagittal diameter was 10.2mm preoperatively & 12.9mm postoperatively. We achieved a mean reduction of canal compromise of 62%. A significant correlation between preoperative canal compromise and amount of restoration, or severity of neurologic deficit could not be established. Ligamentotaxis by pedicle screw instrumentation could effectively decompress the canal in thoracolumbar burst fracture.

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Treatment of Unstable Fracture of the Thoracolumbar Spine Using Kaneda Instrumentation: Ik Soo Choi, Woo Il Kim, Sung Lim, Seung Ho Lee; J Korean Soc Fract 1994;7(1):192-200. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.192

In cases of unstable thoracolumbar burst fractures, recently the operative treatments such as posterior stabilization and fusion, anterior decompression and fusion, and combined method have been used and choice of procedures is determined by neurologic deficit, instability, and interval between injury and operation. Kaneda instrumentation is rigid anterior spinal device that provides sufficient stability for anterior decompression through partial or total corpectomy and adequate correction of kyphosis as one stage operation by instrumentation. We have experienced 12 cases of Kaneda instrumentation via anterior approach for thoracolumbar fracture, from Aug. 1989 to Jun. 1991 Among them, 7 cases have been followed for more than 12 months and reviewed. The results were as followed: 1. There was no relationship between canal compromise and Frankel grade. Incomplete neurologlc deficit improved by 1.4 Frankel grade but complete neurologic deficit did not improve. 2. The mean preoperative kyphotIc angulation was 26.1, postoperative angulation 12.7, correction angle 13.4, and sorrection rate was 51.4%. 3. Anterior spinal approach for the unstable thoracolumbar fractures using Kaneda instrumentation provided 1) sufficient anterior spinal decompression and fusion 2) adequate correction of kyphotic deformity and 3) stability to enable early ambulation.

Citations

Citations to this article as recorded by

Biomechanical Efficacy of Various Anterior Spinal Fixation in Treatment of Thoraco-lumbar Spine Fracture
Ye-Soo Park, Hyoung-Jin Kim, Choong-Hyeok Choi, Won-Man Park, Yoon-Hyuk Kim
Journal of the Korean Fracture Society.2007; 20(1): 70. CrossRef

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