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KMID : 0922220110110020061
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Journal of the Korean Musculoskeletal Transplantation Society
2011 Volume.11 No. 2 p.61 ~ p.67
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Anterior Tricortical Iliac Bone Graft for Unstable Thoracolumbar or Lumbar Bursting Fracture with Short Segment Fixation
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Moon Chan-Woong
Kim Hyoung-Min
Lee Gi-Haeng
Jeong Chang-Hoon
Park Il-Jung
Park In
Kim Youn-Soo
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Abstract
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Purpose: To evaluate the effect of anterior tricortical autogenous iliac bone graft with shortsegment fixation in thoracolumbar or lumbar unstable burst fracture.
Materials and Methods: Twenty patients, who had undergone anterior tricortical iliac bone graft with short segment fixation in thoracolumbar or lumbar unstable burst fracture between May 2001 and October 2010 and followed-up for more than one year, were enrolled in this study. The evaluation was performed by measuring the kyphotic angle at pre-operation, post-operation, graft union and last follow-up. We also investigated the clinical outcome at last follow-up.
Results: The kyphotic angle was preoperatively 16.3。, immediate postoperatively 5.6。, and at graft union period 7.6。, so about 2.0。of correction loss was checked. None of patients showed further progression of kyphotic deformity after graft union. At last follow-up, average VAS score was 0.8 and most patients complained bone graft site discomfort or minimal pain.
Conclusion: Anterior tricortical autogenous iliac bone graft with short segment fixation could be useful for prevention of kyphotic deformity during long term follow-up in thoracolumbar or lumbar unstable burst fracture.
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KEYWORD
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Thoracolumbar, Lumbar, Unstable burst fracture, Short segment fixation, Anterior tricortical iliac bone graft
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