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KMID : 0359819950240040401
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 4 p.401 ~ p.413
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Surgical Planning for Thoracolumbar Spine Fracture
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최봉식
김기욱/김형동/최휴진/하상수
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Abstract
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Many of the thoracolumbar spine fracture may be managed conservatively by postural reduction. but postural reduction alone connot treat all the patient with thoracolumbar spine fracture properly. Recently, more patients with thoracolumbar spine
fracture
are managed surgically with the advance of surgical technique and instrument Surgery may be performed by either anterior or posterior approach according to many factors. Generally initial management of patient with thoracolumbar spine fracture is
conservative and surgery is delayed for spinal fusion. but early surgery with decompression of spinal cord and fusion of the vertebral body seems to be more proper in unstable fracture with compression of spinal cord by bony fragment and
incomplete
neurological deficit. Authors analyzed 52 cases of thoracolumbar spine fracture and made a proper management plan and proper surgical approach.
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KEYWORD
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