Surgical treatment of unstable thoracolumbar fractures is controversial. Most authors reported that short segment fixation led to a high incidence of implant failure and correction loss. On the other hand, long segment fixation has the disadvantage of fusing more segments. We aimed to compare the outcomes of long-segment fixation versus two or three levels above and one level below fixation for...

Abstract Background The purpose of this study was to use MRI and CT observe osteoporosis vertebral fracture (OVF) combined with endplate-disc complex (EDC) injury classify the degree EDC according changes in signal intensity morphology on images. Methods We investigated incidence injury, observed using CT, graded injuries from 0 4 their severity. compared whether there were differences among di...

We present, along with a literature review, the case report of a 6-year-old boy, involved in a high-speed motor vehicle accident, who sustained a seat belt injury of the lumbar spine. We discuss the clinical presentation of thoracolumbar fractures in children, the sensitivity of clinical examination and radiographic evaluation and the associated abdominal injuries that are commonly present with...

Background: The reposition of bone fragment is important in the treatment for thoracolumbar burst fractures, but it is not clear whether there are correlations between the reposition of bone fragment and the size of bone fragment, and AO classification in the thoracolumbar fractures. Materials and methods: Forty-two patients were divided into two groups according to whether reposition of bone f...

BACKGROUND The objective of this study is to identify the independent risk factors of neurologic deficit after thoracolumbar burst fracture. Traumatic fractures of the thoracolumbar spine are the most common type of spinal column fractures. Many studies have attempted to determine whether neurologic deficit in such fractures is related to spinal canal stenosis or other parameters observed on ax...

BACKGROUND In the United States, major compression and burst type fractures (>20% height loss) of the lumbar spine occur as a result of motor vehicle crashes, despite the improvements in restraint technologies. Lumbar burst fractures typically require an axial compressive load and have been known to occur during a non-horizontal crash event that involve high vertical components of loading. Rece...

In order to compare short-segment stabilization with long-segment stabilization for treating unstable thoracolumbar fractures, we studied fifty patients suffered from unstable thoracolumbar burst fractures. Thirty of them were managed with long-segment posterior transpedicular instrumentation and twenty patients with short-segment stabilization. The mean follow up period was 5.2 years. Pre-oper...

Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column include anterior, lateral, and posterior approaches. cases involving an anterior lateral approach, collaboration general thoracic surgeons may be necessary because the adjacent anatomical ...