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KMID : 1146020100030010053
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Journal of Critical Spine Cases
2010 Volume.3 No. 1 p.53 ~ p.56
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Two Cases of L1 Burst Fracture: Posterior Instrumentation using Distraction and Ligamentotaxis Reduction
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Kim Kyeong-Ki
Ahn Yong
Shin Yong-Hwan
Kim Jin-Duck
Lee Sang-Ho
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Abstract
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Most burst fractures involve the thoracolumbar junction, which is uniquely susceptible to this type of injury because of its transitional anatomy and its location between the stiff, kyphotic thoracic spine and the more mobile, lordotic lumbar region. There is a great deal of controversy regarding the optimal surgical approach (i.e., anterior, posterior, circumferential) for treating a patient with a thoracolumbar burst fracture. Posterior instrumentation techniques are frequently used in this clinical scenario because they facilitate fracture reduction and subsequent arthrodesis. The posterior-only approach has become a well-accepted method for managing unstable thoracolumbar burst fracture with or without an associated neurologic deficit. When performed properly, the application of distractive forces to a posterior construct may indirectly reduce retropulsed fragments through ligamentotaxis and effectively improve the degree of spinal canal occlusion.
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KEYWORD
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Burst fractures, Ligamentotaxis
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Listed journal information
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