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KMID : 0390119940340020193
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Journal of Pusan Medical College
1994 Volume.34 No. 2 p.193 ~ p.200
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Kaneda instrumentation for the unstable Fracture of the Thoracolumbar Spine
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Abstract
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The first goals of the surgical treatment of the unstable thoracolumbar fractures are to achieved reduction, decompression and stability. Recently the anterior Kaneda device instrumentation for the unstable thoracolumbar fractures has been
developed and
proved as effective as the posterior instrumentation. A review of 14 cases placed in Kaneda instrumentation for the unstable thoracolumbar fractures from January 1990, through December 1991.
@ES was carried out, and following results were obtained:
@EN 1. Th most common cause of injury was fall from height(57%).
2. The most frequent level of injury was the first lumbar vertebrae(50%).
3. Fractures of the extremities and chest injury were major associated injuries.
4. Among 14 cases , 11 cases had neurologic deficits(79%). 2 cases had a complete paralysis. 9 cases had an incomplete paralysis. Neurologically. 7 cases among an incomplete paralysis had been improved partially or completely.
5. An average anterior vertebral height were 52.1% preoperatively. 85.3% postoperatively, 81.3% at follow up. Also an average kyphotic angle was 23.2 degrees 9.7 degrees, 10.9 degrees respectively.
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