Objective: To explore the efficacy of an intracorporeal bone grafting technique in the treatment of type A thoracolumbar fracture. Methods: From Feb 2010 to March 2012, a series of 28 patients type A thoracolumbar fracture with moderate to severe osteoporosis who met our inclusion criteria were treated by a combination of percutaneous pedicle screws posteriorly and intracorporeal grafting throu...

is at the thoracolumbar region, of which more than 50% occur at T11 to L1 levels. More than half of such injuries are sustained in vehicle accidents and 25% are secondary to a fall from a height (usually exceeding 3 meters). Complete neurological deficit has been reported in 25% of such patients and incomplete deficit in about 15%.1 Considerable anatomic differences exist throughout the spinal ...

ABSTRACT Objective: Rate and compare radiographic measurements of thoracic kyphosis lumbar lordosis using anatomical dynamic parameters. Methods: Measurements were performed on lateral radiographs 10 adults both sexes without spinal disease or deformity. Thoracic measured parameters (T1-T12, T4-T12, T5-T12 L1-S1) (cervicothoracic thoracolumbar inflection point). Results: different in 30% subjec...

Background: Unstable thoracolumbar burst fractures are treated surgically by short segment fi xation but may be associated with high implant failure. Supplementation of anterior column by insertion of screw at fracture site makes it more biomechanically stable. Objectives: The purpose of this prospective study was to evaluate radiological parameters in thoracolumbar fractures treated with inter...

BACKGROUND Thoracolumbar junction (TLJ) is the transitional area between the lower thoracic spine and the upper lumbar spine. Vertebral compression fractures and proximal junctional kyphosis following spine surgery often occur in this area. Therefore, the study of development and mechanisms of thoracolumbar junctional degeneration is important for planning surgical management. This study aimed ...

BACKGROUND Lenke 5C type adolescent idiopathic scoliosis (AIS) with a Cobb angle of over 30 degrees has high risk of progression. The need for corrective surgeries for degenerative lumbar scoliosis has been increasing these days and some of those cases are pre-existing type scoliosis. However, it is said to be difficult to differentiate pre-existing type scoliosis from de novo type scoliosis. T...

The aim of this prospective study was to evaluate the efficacy of an injectable hydroxyapatite cement in combination with long posterior transpedicular instrumentation, without fusion, for the treatment of unstable thoracolumbar burst fractures. Ten patients with this type of fracture were treated in the period 1999-2000 with bisegmental posterior transpedicular stabilisation above and below th...

UNLABELLED INTRODUCTION Alternative fusion expanders are in clinical use for instrumented posterolateral fusion (PLF) to avoid donor site morbidity in autologous bone graft (ABG) harvesting. Purpose of this study was to evaluate demineralized bone matrix (DBM) in PLF as alternative to the gold standard of ABG in acute traumatic vertebral body fractures of the thoracolumbar spine. MATERIAL AND M...

BACKGROUND In an attempt to contain the high cost of commercially available pedicle screw systems, several authors have used unconventional alternatives such as locally made plates or dynamic compression plates (DCP) along with cancellous screws for transpedicular fixation of the thoracolumbar spine. These plates, however, allow for a wide range of motion at the plate-screw interphase and the c...

Thoracolumbar fractures constitute 75% of the cases spine trauma. classification systems are important to diagnose, stage, determine management vertebral lesions, and predict results different treatment options. This narrative review describes how evolved over time with unique features each historically. Radiographs initial step investigation. Magnetic resonance imaging computed tomography help...