Anterior Operation for Unstable Thoracolumbar and Lumbar Burst Fractures

Kang, Chang Nam; Cho, Jae Lim; Suh, Seung Pyo; Choi, Youn-Ho; Kang, Jae Seon; Kim, Yeo Ju

doi:10.1097/bsd.0b013e3182867489

Cited by 13 publications

(12 citation statements)

References 23 publications

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“…Compared with traditional anterior surgery, only one rather than three levels of segmental vessels are severed in this improved procedure. Two Cobb elevators are used to press the segmental artery before cutting it, after which the two vessel ends are sufficiently dissociated before ligaturing (proximal part) or electrocoagulating (distal part) them.…”

Section: Discussionmentioning

confidence: 99%

Anterior Decompression and Reconstruction for Lumbar Burst Fractures

Fan

Zhang

et al. 2015

Orthopaedic Surgery

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Section: Discussionmentioning

confidence: 99%

Anterior Decompression and Reconstruction for Lumbar Burst Fractures

Fan

Zhang

et al. 2015

Orthopaedic Surgery

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“…Problems with allograft bone include graft collapse, graft fracture, nonunion, and donor-site complications [7][8][9][10]. Anterior corpectomy with a titanium mesh cage (TMC) is a safe and effective surgical treatment for thoracolumbar fracture, offering better and more predictable results with fewer donor-site complications and earlier biomechanical stabilization than iliac bone grafting [10][11][12][13]. However, TMCs have a fairly large amount of subsidence with a large Young's modulus, which may affect the long-term maintenance of kyphosis [12].…”

Section: Introductionmentioning

confidence: 99%

Long-term outcomes of the nano-hydroxyapatite/polyamide-66 cage versus the titanium mesh cage for anterior reconstruction of thoracic and lumbar corpectomy: a retrospective study with at least 7 years of follow-up

Wang

Song

et al. 2023

Preprint

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Background. The nano-hydroxyapatite/polyamide-66 (n-HA/PA66) cage is a biomimetic cage with a lower elastic modulus than the titanium mesh cage (TMC). This study aimed to compare the long-term outcomes of the n-HA/PA66 cage and TMC in the anterior reconstruction of thoracic and lumbar fractures. Methods. We retrospectively studied 113 patients with acute traumatic thoracic or lumbar burst fractures, comprising 60 patients treated with the TMC and 53 treated with the n-HA/PA66 cage for anterior reconstruction following single-level corpectomy. The radiographic data (cage subsidence, fusion status, segmental sagittal alignment) and clinical data (visual analogue scale (VAS) for pain and Oswestry Disability Index (ODI) for function) were evaluated preoperatively, postoperatively, and at final follow-up after a minimum 7-year period. Results. The n-HA/PA66 and TMC groups had similar final fusion rates (96.2% vs. 95.0%). The cage subsidence at final follow-up was 2.3 ± 1.6 mm with subsidence of more than 3 mm occurring in 24.5% in the n-HA/PA66 group, which was significantly lower than the respective values of 3.9 ± 2.5 mm and 58.3% in the TMC group. The n-HA/PA66 group also had better correction of the bisegmental kyphotic angle than the TMC group (7.1°±7.5°vs 1.9°±8.6°, p < 0.01), with lower loss of correction (2.9°±2.5° vs 5.2°±4.1°, p < 0.01). The mean ODI steadily decreased after surgery in both groups. At final follow-up, the ODI and VAS were similar in the TMC and n-HA/PA66 groups. Conclusions. The n-HA/PA66 cage is associated with excellent radiographic fusion, better maintenance of the height of the fused segment, and better correction of kyphosis than the TMC during 7 years of follow-up after one-level anterior corpectomy. With the added benefit of radiolucency, the n-HA/PA66 cage may be superior to the TMC in anterior reconstruction of thoracic or lumbar fractures.

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“…Анализ многолетнего опыта использования переднего спондилодеза аутотрансплантатом и отдаленные результаты операций свидетельствуют о том, что межтеловой спондилодез только аутокостью является недостаточно эффективным [7,8]. Это связано с ограниченными стабилизирующими возможностями способа.…”

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A telescopic vertebral endoprosthesis for subaxial cervical fusion

2016

Vopr. neirokhir.

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The first cases of replacement of a resected vertebra by the proposed construction indicate the advisability of using this VG to restore the sagittal profile, stabilize the operated spinal motion segment, and create conditions for the formation of an adequate supporting bone block. The graft construction can be filled with a significant amount of a filler and makes it possible to add and tighten the filler after placing the graft into the operating position. The study demonstrated the construct efficacy. No postoperative complications associated with the use and placement of the telescopic constructions was observed.

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Anterior Operation for Unstable Thoracolumbar and Lumbar Burst Fractures

Abstract: Titanium mesh cage filled with the autogenous cancellous bone shortened operation time and reduced the risk of complications in the donor site compared with the group that used the tricortical iliac bone.

Cited by 13 publications

References 23 publications

Anterior Decompression and Reconstruction for Lumbar Burst Fractures

Anterior Decompression and Reconstruction for Lumbar Burst Fractures

Long-term outcomes of the nano-hydroxyapatite/polyamide-66 cage versus the titanium mesh cage for anterior reconstruction of thoracic and lumbar corpectomy: a retrospective study with at least 7 years of follow-up

A telescopic vertebral endoprosthesis for subaxial cervical fusion

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