Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (35): 6536-6539.doi: 10.3969/j.issn.1673-8225.2011.35.018

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Posterior screw-rod system fixation combined with anterolateral decompression and bone graft for severe thoracolumbar burst fracture in 12 cases

Liu Jun, Xiang Liang-bi, Wang Qi, Chen Yu, Yu Hai-long, Cao Yan   

  1. Department of Orthopedics, Shenyang General Hospital of Shenyang Military Command, Shenyang  110016, Liaoning Province, China
  • Received:2011-04-26 Revised:2011-07-23 Online:2011-08-27 Published:2011-08-27
  • Contact: Xiang Liang-bi, Master, Chief physician, Department of Orthopedics, Shenyang General Hospital of Shenyang Military Command, Shenyang 110016, Liaoning Province, China
  • About author:Liu Jun☆, Doctor, Associate chief physician, Department of Orthopedics, Shenyang General Hospital of Shenyang Military Command, Shenyang 110016, Liaoning Province, China

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Abstract:

BACKGROUND: The procedures of anterolateral decompression, bone graft with mesh and internal fixation with screws and rods can achieve through the same incision in the treatment of thoracolumbar burst fractures.
OBJECTIVE: To evaluate the clinical effects of anterolateral decompression, bone graft with mesh and internal fixation with screws and rods in the treatment of thoracolumbar burst fractures.
METHODS: Twelve thoracolumbar burst fracture patients with neurologic deficit were treated with anterolateral decompression, bone graft with mesh and internal fixation with screws and rods.
RESULTS AND CONCLUSION: The mean follow-up time was 16 months. Sufficient decompression, excellent fusion of bone graft and recovered vertebral body height were achieved in all cases. The Cobb’s angle was rectified from preoperative 22° to 6° postoperatively. And Frankel grade scores were significantly improved in 9 cases (grade 1 in 6 cases, grade 2 in 3 cases, and no changes in 3 cases). The procedures of anterolateral decompression, bone graft with mesh and internal fixation with screws and rods are effective, which can achieve anatomical reduction, complete decompression and restabilization through the same incision. But the operation indications should be restrictedly controlled because of the more trauma and blood loss.

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