[Operative strategy of the thoracolumbar fracture dislocation].
OBJECTIVE
To explore the operative strategy and clinical outcome of the thoracolumbar fracture dislocation.


METHODS
Forty-two patients with the thoracolumbar fracture dislocation were treated with anterior approach (10 patients), posterior approach (28 patients), and anterior combined with posterior approach (4 patients) in order to construct the stabilities of the spine. The ASIA grades were used to evaluate the recovery of the neurological function, and the improvement of the kyphosis deformities was evaluated by the cobb's angle post-operation.


RESULTS
All the patients had no complications of injury in the vascular and neurological system. The ASIA grades after the operation were superior to those of pre-operation, and the cobb's angle was rectified distinctly.


CONCLUSIONS
When appropriate operative strategies are adopted, thoracolumbar fracture dislocation can be treated with satisfactory outcome.
Kang
Yi-Jun
YJ
Department of Spine Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Kong
Jin-Hai
JH
Lü
Guo-Hua
GH
Wang
Bing
B
Wang
Wan-Chun
WC
Wan
Jun
J
D000293:Adolescent; D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000150:complications / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries / Q000601:surgery*; D016896:Treatment Outcome