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Traitement chirurgical des fractures du rachis dorso-lombaire par abord antérieur

Indications en fonction d'une classification personnelle

Surgical management of fractures of the thoraco-lumbar spine by anterior approach. Indications according to a personnal classification

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Résumé

Les auteurs analysent les résultats d'une série de 119 cas au recul moyen de 73 mois à partir d'une classification biomécanique et anatomopathologique. L'indication de l'abord antérieur correspond à deux stratégies : décompression canalaire, reconstruction de la colonne antérieure dans le cadre des lésions par vecteur traumatique principal antérieur (VTP), stabilisation de la réduction postérieure dans le cadre des lésions par VTP postérieur.

Summary

The authors analyse the result of a series of 119 cases with a mean follow-up of 73 months, according to a personal biomechanical and anatomo-pathological classification. The indication for the anterior approach depends on two strategies: cord decompression-anterior column reconstruction for trauma with anterior major injuring vector, stabilization of a posterior reduction for trauma with posterior major injuring vector.

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Authors and Affiliations

  1. Rond-Point de la Nation, F-21000, Dijon, France

    J. Ph. Lemaire & E. Laloux

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  1. J. Ph. Lemaire
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  2. E. Laloux
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Lemaire, J.P., Laloux, E. Traitement chirurgical des fractures du rachis dorso-lombaire par abord antérieur. Orthop Traumatol 1, 247–254 (1991). https://doi.org/10.1007/BF01752800

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