Junctional burst fractures.
Twenty-two patients with burst fractures in this mechanically and neurologically distinct region (T11-L2) were studied at injury and after acute surgical reduction and stabilization (antikyphosis and ligamentotaxis concept). Canal compromise averaged 42% (10-82%) before surgery, and at follow-up 14% (0-46%), segmental kyphosis 15 degrees (4 degrees-27 degrees) and 3 degrees (0 degree-15 degrees), and vertebral segment height 62% (41-85%) and 86% (60-100%), respectively. Incomplete patients gained an average of 1.8 Frankel subgrades. The described treatment can predictably recanalize the spine, correct deformity, and stabilize neurologic compromise. A significant correlation between postoperative neurologic status and the radiographic criteria under study could not be established.
Starr
J K
JK
Department of Orthopaedic Surgery, University of Pittsburgh, Pennsylvania.
Hanley
E N
EN
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010147:Pain Measurement; D013119:Spinal Cord Injuries / Q000503:physiopathology; D016103:Spinal Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000503:physiopathology; D013131:Spine / Q000601:surgery; D011795:Surveys and Questionnaires; D014057:Tomography, X-Ray Computed