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Double approach in thoraco-lumbar malunions

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Abstract

Thoracolumbar fractures (T11–L2) complicated by malunion often need surgery. In our hands two approaches are necessary for release and fusion. Correction is obtained by posterior bending in situ of a screw rod fixation. When the deformity is flexible, first we perform a posterior reduction and stabilization, and secondly an anterior approach for interbody fusion. When spine is rigid an anterior release with waiting bone graft is performed first followed by a second posterior reduction and stabilization. This strategy allows a real correction without the loss of correction in time. This technique is fast and safe as demonstrated in our series of 20 patients.

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Conflict of interest statement

None of the authors has any potential conflict of interest.

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Authors and Affiliations

  1. Department of Spine Surgery, University Hospital of Strasbourg, Strasbourg Cedex, France

    Jean-Paul Steib, Sami Mezghani, Yann Philippe Charles & Anca Mitulescu

  2. Service de Chirurgie du Rachis, Hôpitaux Universitaires de Strasbourg, Pavillon Chirurgical B, B.P. 426, 67091, Strasbourg Cedex, France

    Jean-Paul Steib

Authors
  1. Jean-Paul Steib
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  2. Sami Mezghani
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  3. Yann Philippe Charles
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  4. Anca Mitulescu
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Correspondence to Jean-Paul Steib.

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Steib, JP., Mezghani, S., Charles, Y.P. et al. Double approach in thoraco-lumbar malunions. Eur Spine J 19 (Suppl 1), 48–51 (2010). https://doi.org/10.1007/s00586-009-1165-8

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  • DOI: https://doi.org/10.1007/s00586-009-1165-8

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