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Transpedicular decompression and stabilization of burst fractures of the lumbar spine.
Viale, G L; Silvestro, C; Francaviglia, N; Carta, F; Bragazzi, R; Bernucci, C; Maiello, M.
Afiliación
  • Viale GL; Department of Neurosurgery, University of Genoa Medical School, Italy.
Surg Neurol ; 40(2): 104-11, 1993 Aug.
Article en En | MEDLINE | ID: mdl-8362346
Twenty-seven consecutive patients with neurological impairment due to burst fractures of the lumbar spine were operated upon, via the postero-lateral route, over a 38-month-period. Transpedicular fixation devices [posterior segmental fixator (PSF) or variable screw placement system (VSP)] were applied in all cases, in order to achieve short-segment fusion of the fractured spinal segment. Return to useful motor power or neurological normality (median follow-up: 18.7 months) occurred in 22 cases (81% of the whole series), with this outcome resulting in all but one of the cases with preoperative incomplete neurological deficit. Postoperative encroachment of the spinal canal, degree of kyphotic deformity, and reduction of the vertebral height showed statistically significant differences compared with the corresponding preoperative values.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Columna Vertebral / Fijación Interna de Fracturas / Vértebras Lumbares Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Neurol Año: 1993 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de la Columna Vertebral / Fijación Interna de Fracturas / Vértebras Lumbares Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Neurol Año: 1993 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos