[Surgical treatment of sequelae of injuries of the thoracolumbar spine].
The authors describe surgical techniques used in 48 patients with sequelae of injuries of the thoracolumbar spine and the achieved results. Twenty-one patients were treated by an anterior operation, 14 by posterior operation and 13 a combination of both. The anterior operation involved 1) simple stabilization by autografts or 2) release, correction of the kyphosis and fusion and 3) elimination of the affected body of the vertebra and replacement by a massive allograft. If reliable stability was not achieved, instrumentation was added. In posterior operation they always stabilized the spine by instrumentation and added fusion. In the remaining patients they combined the posterior and anterior operation. The anterior operations were, if necessary, supplemented by decompression, when using the posterior approach they decompressed by the posterolateral route. As to complications which called for re-operation, instrumentation failed once and twice a pseudoarthrosis was repaired. Pain disappeared or receded substantially in 86%. Of 30 patients with a partial nervous lesion 14 (47%) improved, in two slight deterioration occurred.
Vlach
O
O
Ortopedická klinika Fakultní nemocnice s poliklinikou, Brno-Bohunice.
Messner
P
P
Bayer
M
M
Nýdrle
M
M
D000293:Adolescent; D000328:Adult; D002648:Child; D006801:Humans; D007738:Kyphosis / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000293:injuries*; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D013124:Spinal Injuries / Q000150:complications; D013904:Thoracic Vertebrae / Q000293:injuries*
Operacní lécení následků úrazů torakolumbální pátere.