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KMID : 0376419950190010087
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Chonbuk University Medical Journal
1995 Volume.19 No. 1 p.87 ~ p.78
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The Result of Anterior Devompression for the Unstable Thoracolumbar Burst Fractures
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Abstract
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The treatment goals of the unstable thoracolumbar burst fractures should be to provide the optimat environment for neurologic recovery and to provide stability. To obtain these treatment goals anterior decompression and fusion with anterior
instrumentation should be the treatment of choice for the adequate decompression and stabilization at one time. Anterior surgery has been performed in 17 patients for unstable burst injuries of the thoracolumbar spine between April 1990 to July
1992 and
the treatment results were analyzed with minimum 2 years follow-up Ten of these were paraparetic. While there were one case of nonunion, three screw breakage and one double rod breakage, there were no early or late vascular complications. But
there
was
one neurologic complication. Average neurological recovery was 1.6 grades on the Frankel grade. Seven out of ten patients with paraparesis could return to their previous work. The purpose of this paper is to evaluate the efficacy of anterior
decompression and fusion with kaneda device for the treatment of unstable tharacolumbar burst fractures.Anterior decompression and fusion with kaneda device for the treatment of unstable thoracolumbar burst fractures with or without neurologic
deficit
should be the proper treatment can provide can provide complete durl decompression and rigid stability.
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KEYWORD
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