title: [Preliminary evaluation of the efficacy of transpedicular refilling of spongiosa loss with autologous grafts in thoraco-lumbar vertebral bodies using the Daniaux method].
abstract: In Orthopaedic University Clinic in Lublin there were 35 patients with thoraco-lumbar spine fractures since 1993 to 1997. In 18 operated patients fractures of vertebral bodies were reduced and bone loss refilled by autogenous morselised grafts implanted through arc's basis using Daniaux method. There were 9 L1 fractures, 6 Th12 and single one on levels of Th11, L2 and L3. Complete spinal cord injury had 5 patients and partial 13. The degree of vertebral body compression was counted using Taillard's formula preoperatively, 4 weeks, 6 and 12 months after surgery. The anterior wall of vertebral body was decline ranged from 20% to 77%, average 51.9%. There were evaluations of 7 patients 6 months from fixator removal. Presented results support the opinion that operative reconstruction of vertebral body's fracture with autologous spongiosa grafts implantation in place of bone loss gives better chance for anterior wall height reconstitution. Small loss of correction after metal fixator removal, average 7.7%, testify good graft's remodeling and sufficient durability of Daniaux's method of treatment.
authors.affiliation: Katedra i Klinika Ortopedii i Traumatologii AM w Lublinie.
authors.forename: P
authors.initials: P
authors.lastname: Godlewski
authors.forename: T
authors.initials: T
authors.lastname: Mazurkiewicz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001862:Bone Resorption / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000601:surgery* / Q000637:transplantation; D008875:Middle Aged; D009985:Orthopedics; D012189:Retrospective Studies; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016103:Spinal Fractures / Q000150:complications / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods*; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000601:surgery* / Q000637:transplantation; D016896:Treatment Outcome