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KMID : 0388719940010020311
Journal of Korean Society of Spine Surgery
1994 Volume.1 No. 2 p.311 ~ p.316
Lumber Burst Fractures in Paragliders



Abstract
paragliding. Loss of lifting force by the collapse of sail or turbulance of air leads to a rapid fall and landing on the buttock. In those instances. Lumbar spine is maintained upright by the remained partial pulling force of the relatively light
weight
of the equipment. As a result of the fall. Lumbar spine sustain an injury from the axial loading force.
The authors experienced 6 cases of lumbar spine fractures requiring surgical treatments among 400 active paragliders in Kwangju area during the last 3 years.
Types of fractures were burst type B by Denis classification in all cases. Levels of the lesions were L2 in twere. L3 in one and L4 in two. Neulological involvement was not observed. Method of operations was anterior decompression by proximal
half-corpectomy in three and by total corpectomy in one and short segment transpedicular instrumentation in two.
All showed solid bony union within 3 months. Extent of fusion was one motion segment in cases with proximal half-corpectomy while it was two motion segment in the cases treated by the other methods.
In conclusion. The authors believe that burst type fracture of lumbar spine is prevalent in paragliders and the treatment by proximal half-corpectomy minimizes the fusion segment in such cases.
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