title: [Cotrel-Dubousset instrumentation in the treatment of thoracolumbar and lumbar spine fractures].
abstract: Thirty-three thoracolumbar and lumbar spine fractures have been operated on using Cotrel-Dubousset instrumentation. Most were thoracolumbar burst fractures. Regional kyphosis at follow-up was 4 degrees, vertebral kyphosis was 8 degrees. Secondary loss of regional kyphosis was 1 degree, and 10 degrees of vertebral kyphosis. This construct with screws varies according to the level (thoraco-lumbar or lumbar); it seems reliable, as compared with other kinds of internal fixation. Restoring the height of the vertebral body is essential and is the key to a good final result. Addition of a postero-lateral fusion and or a brace did not improve the results.
authors.affiliation: Service de Chirurgie Orthopédique et Traumatologique, Hôpital Beaujon, Clichy.
authors.forename: A
authors.initials: A
authors.lastname: Blamoutier
authors.forename: M
authors.initials: M
authors.lastname: Milaire
authors.forename: C
authors.initials: C
authors.lastname: Garreau de Loubresse
authors.forename: B
authors.initials: B
authors.lastname: Lassale
authors.forename: A
authors.initials: A
authors.lastname: Deburge
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D013904:Thoracic Vertebrae / Q000293:injuries*
vernacular_title: L'instrumentation de Cotrel-Dubousset dans le traitement des fractures de la charnière dorso-lombaire et du rachis lombaire.