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KMID : 0359819900190050654
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Journal of Korean Neurosurgical Society
1990 Volume.19 No. 5 p.654 ~ p.661
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Surgical decompression and Stabilizaton with instrumentation in Thoracolumbar and Lumber Spine Fracture
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Kim Seong-Ho
Bae Jang-Ho
Dob Eun-Sig
Ko Sam-Kyu
Kim Oh-Lyong
Chi Yong-Chul
Choi Byung-Yearn
Cho Soo-Ho
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Abstract
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Twenty patients with a major thoracolumbar or lumbar spine fractures were treated with various kinds of internal fixation device through anterior or posterior approach during last 2 years. Anterior spinal surgery(10 patients) applied to the patients who had a major fracture of anterior compartment with neural canal impingement and consisted of anterior decompression through vertebrectomy and stabilization with Kaneda device. Posterior spinal surgery(9 patients) applied to mainly posterior compartment injury and consisted of stabilization with Harrington instrumentation(3 patients) and Roy-Camille plate system(6 patients). The other one patient was treated with a combined approach of anterior decompression and posterior Harrington instrumentation. No patient showed neurological deterioration after surgery and 15 patients(75%) improved postoperatively with entering the next Frankel subgroup. Radiologic evaluation showed the correction of the fracture deformity with satisfactory outcome postoperatively. There was no significant difference between anterior and posterior spinal surgery regarding operative result.
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KEYWORD
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Thoracolumbar and lumbar fracture, Intrnal fixation, Anterior spinal surgery, Posterior spinal surgery
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