Surgical Treatment of Thoracolumbar Burst Fractures Using Transpedicular Screw Systems
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Surgical Treatment of Thoracolumbar Burst Fractures Using Transpedicular Screw Systems

Anatol J Gen Med Res 2001;11(1):8-13 DOI: 10.5222/terh.2001.29277
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Abstract

AIM: In this prospective study, the results of treated thoracolumbar burst fractures using transpedicular screw+rod construct were investigated. MATERIAL and METHOD: 21 patients with thoracolumbar burst fractures, underwent application from a posterier approach of transpedicular screw+rod constmct. Radiologie parameters were evaluated before and after surgery. Denis' pain scale and work scales were obtained during follow-up evaluation for all patients. RESULTS: The mean follow up was 21 months (9-29) There were statistically significant differences between the pre-and postoperative values in all radiologic parameters (p<0.05). Neurologic status improved in all patients, with a mean Frankel grade of 1.33. CONCLUSIONS: Transpedicular screw+rod systems provided spinal stability in thoracolumbar burst fractures, forming a rigid constraction and restoring physiologic thoracolumbar and lumbar postural contours of its highly corrective effect in the sagittal profile.

Keywords: Lumbar spine Injury, Screw fixation, Vertebra fracture