title: [Operative strategy of the thoracolumbar fracture dislocation].
abstract: 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.
authors.affiliation: Department of Spine Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
authors.forename: Yi-Jun
authors.initials: YJ
authors.lastname: Kang
authors.forename: Jin-Hai
authors.initials: JH
authors.lastname: Kong
authors.forename: Guo-Hua
authors.initials: GH
authors.lastname: Lü
authors.forename: Bing
authors.initials: B
authors.lastname: Wang
authors.forename: Wan-Chun
authors.initials: WC
authors.lastname: Wang
authors.forename: Jun
authors.initials: J
authors.lastname: Wan
mesh_terms: 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