title: Our experience in 33 cases of thoracolumbar fracture treated by transpedicle instrument.
abstract: Unstable thoracolumbar fracture (vertebromedullary traumatic lesion) is often the cause of poor sequelae, in lumbar pain caused by changes in the physiological sagittal profile, and sequelae of a neurologic nature. Thus, the concept of instability is further defined. The authors presents 33 cases of burst type thoracolumbar fractures treated by transpedicle instrumentation using the following systems: Malaga vertebral fixator 1,2 (MVF), Omega 21. Follow-up was obtained after rom 1 to 9 years. Results were: clinical-radiographic criteria (1. fusion, 2. deformity, 3. pain, 4. neurologic function). There was remodeling of the spinal cord canal in cases operated on. The authors conclude that a correct evaluation of instability of burst fractures and the consequent treatment of choice (transpedicle fixation) allows for a high favorable index of the functional capacity in these patients.
authors.affiliation: Unidad de Raquis Lumbar, Hospital Universitario La Fe, Valencia, Spagna.
authors.forename: V L
authors.initials: VL
authors.lastname: Arino
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000601:surgery*