The surgical reconstruction of fractures and fracture dislocations of the thoraco-lumbar spine
- 26 Downloads
- 3 Citations
Summary
Sixty patients have undergone surgical reconstruction of the injured thoraco-lumbar spine during the period 1968 to 1978 at the Spinal Unit of the National Murayama Hospital. The aim of treatment of any fracture, dislocation, or fracture-dislocation of the spine is to render it stable and painfree. This is best achieved by reduction and stabilisation of the involved segment of the spinal column. Where the posterior ligaments and intervertebral disc are ruptured healing of these structures with return to normal stability cannot be anticipated. In order to obtain permanent stability at the affected vertebral level we elect to perform anterior intervertebral fusion.
Key words
Surgical reconstruction Thoracolumbar spine Fracture DislocationRésumé
A l'hôpital National de Murayama, de 1968 à 1978, 63 blessés ont bénéficié d'une reconstruction chirurgicale après fracture du rachis dorsolombaire. Le but du traitement de toutes fractures, luxations ou luxations-fractures du rachis est de reconstituer une colonne stable et indolore. Il est atteint au mieux par la réduction et la stabilisation du segment fracturé. Lorsque les ligaments postérieurs et les disques sont rompus on ne peut obtenir la restauration complète de ces structures, ni par conséquent retrouver une stabilité normale. Pour y parvenir les auteurs ont maintenant recours à la fusion rachidienne par voie antérieure.
Preview
Unable to display preview. Download preview PDF.
References
- 1.Holdsworth FW, Hardy A (1953) Early Treatment of Paraplegia from Fractures of the Thoraco-Lumbar Spine. J Bone Joint Surg 35-B. 540–550Google Scholar
- 2.Holdsworth FW (1963) Fractures, Dislocations, and Fracture-Dislocations of the Spine. J Bone Joint Surg 45-B: 6–20Google Scholar
- 3.Katznelson, AM (1969) Stabilisation of the Spine in Traumatic Paraplegia. Paraplegia 7: 33–37Google Scholar
- 4.Kelly RP, Whitesides TE, Jr (1968) Treatment of Lumbodorsal Fracture-Dislocations. Ann Surg 167: 705–717Google Scholar
- 5.Nicoll EA (1949) Fractures of the Dorso-Lumbar Spine. J Bone Joint Surg 31-B: 376–403Google Scholar
- 6.Roaf R (1960) A Study of the Mechanics of Spinal Injuries. J Bone Joint Surg 42-B: 810–823Google Scholar
- 7.Rogers WA (1938) Cord Injury Reduction of Thoracic and Lumbar Vertebral-Body Fracture and Dislocation. J Bone Joint Surg 20: 689–695Google Scholar
- 8.Stanger JK (1947) Fracture-Dislocation of the Thoracolumbar Spine. With Special Reference to Reduction by Open and Closed Operation. J Bone Joint Surg 29: 107–118Google Scholar
- 9.Whitesides TE (1960): Traumatic Kyphosis of the Thoracolumbar spine. Clin Orthop 128: 633–644Google Scholar
- 10.White III AA, Panjabi MM (1978) Clinical Biomechanics of the Spine. Lippincott, PhiladelphiaGoogle Scholar