title: Fluoroscopically-guided indirect posterior reduction and fixation of thoracolumbar burst fractures without fusion.
abstract: This article presents an evaluation of fluoroscopy for indirect, posterior reduction and fixation of thoracolumbar burst fractures. A prospective study of 25 patients with thoracolumbar burst fractures who underwent C-arm machine-guided posterior indirect reduction and short segment fixation without fusion is described. No laminotomies were performed. All patients had a mean follow-up of 30.4 months. At postoperative review, the average anterior and posterior vertebral heights were corrected from 57.9% to 99.0% and 89.0% to 99.5%, respectively. The Cobb angle was corrected from 18.4 degrees to 0.17 degrees . The canal compromise ratio was improved from 35.2% to 8.6%. In all 25 cases, neurological status was intact at last follow-up. Fluoroscopy guidance is an effective method to accomplish indirect reduction and fixation. Reduction was confirmed on lateral fluoroscopic views by looking for a "one-line sign," which is the reconstitution of the posterior border of the vertebral body.
authors.affiliation: The First Hospital Affiliated to Suzhou University, Suzhou, Jiangsu, 215006, China.
authors.forename: Hui-lin
authors.initials: HL
authors.lastname: Yang
authors.forename: Jin-hui
authors.initials: JH
authors.lastname: Shi
authors.forename: Jiayong
authors.initials: J
authors.lastname: Liu
authors.forename: Nabil A
authors.initials: NA
authors.lastname: Ebraheim
authors.forename: Daniel
authors.initials: D
authors.lastname: Gehling
authors.forename: Sravanthy
authors.initials: S
authors.lastname: Pataparla
authors.forename: Tiansi
authors.initials: T
authors.lastname: Tang
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050815:Fractures, Compression / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult