title: [Reconstruction of vertebral lamina with skull titanium plate and autograft in the treatment of thoracolumbar vertebral fracture].
abstract: OBJECTIVE
  To discuss the surgical skill, treatment effect and indications for reconstruction of vertebral lamina with skull titanium plate and autograft in the treatment of thoracolumbar vertebrae fracture.
  
  
  METHODS
  From March 1999 to April 2007, 33 patients with thoracolumbar vertebrae fracture combined nerve injury were treated by reconstruction of vertebral lamina with skull titanium plate and autograft including 30 males and 3 females with an average age of 41 years ranging from 21 to 66. The fracture involved 3 cases in T11, 9 in T12, 16 in L1, 3 in L2 and 2 in L3. There were 12 cases with flexion fracture, 8 with extension fracture, and 13 with burst fracture. Five cases performed emergency operation and in the others the time from injury to operation was 5 to 12 days. GSS fixation was applied in 25 cases and AF in 8. The volume of vertebral canal, the stability of the spine, the height of vertebrae, and the nerve function were observed before and after operation.
  
  
  RESULTS
  These 33 patients were followed up for 1 to 3 years (means 25 months). The height of anterior column of the involved vertebrae changed from 58% to 96%, the cobb angle return from average of 26 degree to 2 degree, the volume of vertebral canal extended from 43% to 92%, respectively, when compared between preoperatively and postoperatively.
  
  
  CONCLUSIONS
  Reconstruction of vertebral lamina with skull titanium plate and autograft which is a simple and safe treatment for thoracolumbar vertebrae fracture can increase the stability of spine and avoid second canal stenosis.
authors.affiliation: Department of Orthopedics, Zezhou People's Hospital of Jincheng, Jincheng 048000, Shanxi, China. liunx628@sina.com
authors.forename: Nian-Xi
authors.initials: NX
authors.lastname: Liu
authors.forename: Zhi-Hui
authors.initials: ZH
authors.lastname: Niu
authors.forename: Wei-Tai
authors.initials: WT
authors.lastname: Shi
authors.forename: Xiang-Yang
authors.initials: XY
authors.lastname: Yuan
authors.forename: Xiao-Bo
authors.initials: XB
authors.lastname: Cheng
authors.forename: Hao
authors.initials: H
authors.lastname: Liu
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D016103:Spinal Fractures / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000293:injuries*; D014025:Titanium / Q000494:pharmacology*; D014182:Transplantation, Autologous / Q000379:methods; D055815:Young Adult
chemical_list: D014025:Titanium