Three-stage procedure for the fractured lumbar spine using Harrington posterior instrumentation and anterior interbody fusion
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Tarih
1991
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Thirteen patients who underwent posterior reduction and temporary stabilization using Harrington distraction double rods combined with an anterior interbody fusion of the fractured spine are reported. Harrington instrumentation was removed as soon as osseous ankylosis was obtained in order to restore the normal mobility of the segments. Autogenous fresh iliac bone grafts were used. Their diagnoses were traumatic compression burst or wedge fracture and fracture dislocation of lumbar vertebrae. All of the patients have obtained a successful reduction with improvement of spinal alignment and excellent relief of both back pain and sciatica. All of the preoperative neurological deficits either resolved or showed a progressive improvement. There were no complications except for an infection at the donor site of the bone graft in only one patient and spontaneous loosening of the hooks without consequences in another patient. Although the series is small the purpose of our study is to show that this adequate type of three-stage combined management of spinal derangement is possible to prevent or to reduce neurological complications and to enable early rehabilitation, mobilization, and ease of the nursing care.
Açıklama
Anahtar Kelimeler
Kaynak
Neuro-Orthopedics
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
11
Sayı
1
