Restoration of Endplate Integrity in A Type Thoracic and Lumbar Vertebral Fractures

Introduction: Posterior reduction probably reduces only the periphery of the endplate with its strong annular attachments while the central area remains depressed. After removal of the internal fixation (without fusion), the disc settles in this depressed area causing narrowing of the disc space and amplifying the residual kyphosis. Aim of the Work: To study the restoration of endplate integrity in a type thoracic and lumbar vertebral fractures using a transpedicular approach. Patients and Methods: The study was performed on 20 vertebrae in 20 patients with burst fractures for whom transpedicular spongyioplasty was performed. Results: By using transpedicular spongioplasty success was detected by immediate and follow-up of cobb's angle. Conclusion: Transpedicular restoration of endplate integrity is an effective method to prevent later collapse.