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KMID : 0361619750100030282
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Journal of the Korean Orthopaedic Association
1975 Volume.10 No. 3 p.282 ~ p.287
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Stabilization of Unstable Fracture-Dislocation of Spine with Harrington Instrumentation
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Abstract
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The treatment of unstable fracture-dislocation of the spine remains controversial in terms of conservative and surgical intervention. Guttmann (1954, 1965. 1969) strongly emphasizes the conservative approach, however Holdsworth and Hardy (1953, 1963) advise early open reduction and internal fixation.
For internal fixation Rogers wire loop (1942), Wilson plates (1952), and Williams plates (1963) have been used. Recently Amstrong and Johnston (1974) reported effective stabilization of spinal injuries with Harrington instrumentation in 8 cases.
We obtained a good result in a case of L3-4 fracture-dislocation, which was redislocated after the fixation of Rogers wire loop and then stabilized and maintained very well by using Harrington rods.
It is felt that Harrington instrumentation is an excellent armament for spinal stabilization of the spine fracture-dislocation except for the cervical spine.
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