title: One-stage partial vertebrectomy, titanium mesh implantation and pedicle screw fixation in the treatment of thoracolumbar burst fractures through a posterior approach.
abstract: OBJECTIVE
  To analyze the clinical results of a partial vertebrectomy with titanium mesh implantation and pedicle screw fixation using a posterior approach to reconstruct the spine in the treatment of thoracolumbar burst fractures.
  
  
  METHODS
  From January 2006 to August 2008, 20 patients with severe thoracolumbar fractures were treated.For vertebral bodies associated with one injured intervertebral disk, subtotal vertebrectomy surgery and single-segment fusion were performed. For vertebral bodies with two injured adjacent intervertebral disks, partial vertebrectomy surgery and two-segment fusion were performed.
  
  
  RESULTS
  All 20 patients were followed up for 12 to 24 months (average of 18 months). There were no complications such as wound infections, hemopneumothorax or abdominal infections in any of the patients. The neurological status of all of the patients was improved by at least one American Spinal Injury Association grade by the last follow-up. The anterior vertebral body height was an average of 50.77% before surgery, 88.51% after surgery and 87.86% at the last follow up; the sagittal Cobb angle was improved, on average, from 26.15° to 5.39° and was 5.90° at the last follow up. The percentage of spinal stenosis was improved, on average, from 26.07% to 4.93%° and was 6.15% at the last follow up. There were significant differences in the anterior vertebral body height pre- and post-surgery and in the sagittal Cobb angle and the percentage of spinal stenosis (p<0) in all patients.
  
  
  CONCLUSIONS
  This surgical procedure is simple and can accomplish decompression, reduction, fixation and fusion of the spine in one stage. This approach could be widely used in orthopedics.
authors: Third Hospital of Hebei Medical University, Orthopedic Center, Shijiazhuang, People's Republic of China.
authors: Yueju
authors: Y
authors: Liu
authors: Chinese Medicine Hospital Of Pu Yang, China.
authors: Guangbin
authors: G
authors: Li
authors: Third Hospital of Hebei Medical University, Orthopedic Center, Shijiazhuang, People's Republic of China.
authors: Tianhua
authors: T
authors: Dong
authors: Third Hospital of Hebei Medical University, Orthopedic Center, Shijiazhuang, People's Republic of China.
authors: Yingze
authors: Y
authors: Zhang
authors: Third Hospital of Hebei Medical University, Orthopedic Center, Shijiazhuang, People's Republic of China.
authors: Heng
authors: H
authors: Li
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D065289:Pedicle Screws; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013526:Surgical Mesh; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D013997:Time Factors; D014025:Titanium / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D014025:Titanium
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