[Cotrel-Dubousset instrumentation in the treatment of thoracolumbar and lumbar spine fractures].
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.
Blamoutier
A
A
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Beaujon, Clichy.
Milaire
M
M
Garreau de Loubresse
C
C
Lassale
B
B
Deburge
A
A
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*
L'instrumentation de Cotrel-Dubousset dans le traitement des fractures de la charnière dorso-lombaire et du rachis lombaire.