Surgical Treatment of Burst Fractures of the Thoracic and Lumbar Spine Accompanied with Spinal Canal Narrowing

Рерих, В. В.; Borzykh, Konstantin; Rakhmatillaev, Shukhrat

doi:10.14531/ss2007.2.8-15

Cited by 8 publications

(2 citation statements)

References 19 publications

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“…Наиболее подвержены травмам шейный (80 %) и грудопоясничный отделы. Переломы грудного отдела позвоночника встре-чаются гораздо реже, и диагностика их представляет определенные труд-ности из-за выраженности деформа-ции и изменений костной структуры при анкилозирующем спондилоартри-те, а также частого отсутствия адекват-ной травмы в анамнезе [2,3].…”

unclassified

Surgical Treatment of Three-Column Ligamentous Extension Injury of the Thoracic Spine in a Patient With Ankylosing Spondylitis

Надулич¹,

Teremshonok²,

Nagorny³

2013

Hir. pozvonoč.

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Surgical Treatment of Three-Column Ligamentous Extension Injury of the Thoracic Spine in a Patient With Ankylosing Spondylitis

Надулич¹,

Teremshonok²,

Nagorny³

2013

Hir. pozvonoč.

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“…Транспедику-лярный остеосинтез занял прочное место среди методов хирургическо-го лечения травм позвоночного стол-ба, так как позволяет выполнить пол-ноценную репозицию и стабильную фиксацию поврежденного позво-ночно-двигательного сегмента (ПДС) из заднего доступа. В настоящее вре-мя имеется значительное количество публикаций, посвященных клиничес-кому применению транспедикуляр-ной фиксации [1,3,4,6,7,9,10,16,18,20,21].…”

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Experimental Validation of Transpedicular Fixation System Modification

Gusev¹,

Sergeev²,

Паськов³

2011

Hir. pozvonoč.

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Objective. To compare the strength resistance of seriesproduced and modified spinal systems to continuous cyclic loading. Material and Methods. Assembled transpedicular four-screw systems with monoaxial screws of equal configuration were tested. The study group included modified fixation system, and the control group -series-produced domestic fixation systems. All devices were fixed in textolite vertebra models with the account for average pedicle angle and interpedicular distance, with equal interval between vertebrae, and using one transverse connector. The models were exposed to axial cyclic loading. Results. In dynamic loading conditions with 150 kg load (1,500 Newton) and the frequency of 6 cycles per second, the maximum strength of transpedicular fixation system from the study group was at average statistically reliably 22.1 % higher than that from the control group (p ≤ 0,05). Conclusion. The performed study appeared to be a scientific rationale for transpedicular screw modification. Suggested modification statistically reliably increases the maximum strength of fixation system, which reduces complication rate after transpedicular fixation and allows extending indications for transpedicular spinal fusion alone.

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Post-Traumatic Spinal Canal Narrowing and Its Surgical Remodeling for Thoracic and Lumbar Burst Fractures

Рерих¹,

Borzykh²

2011

Hir. pozvonoč.

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To analyze variants of post-traumatic spinal canal narrowing in burst fractures accompanied by fragment displacement of critical values, and to determine the effectiveness of surgical remodeling of the spinal canal. Material and Methods. Medical records of 136 patients with burst fractures of thoracic and lumbar vertebrae involving displacement of fragments into spinal canal on critical values were analyzed. Fragments were classified by their quantity, width, displacement type, and connection with the rest of vertebral body. Results. Three types of fragments displaced into spinal canal were identified: Type I-a large free fragment occupying all interpedicular space in the cranial part of the spinal canal with linear and angular displacement; Type II-a large fragment impacted into the central and posterior parts of the vertebral body and occupying the whole interpedicular space with linear displacement; and Type III-several fragments connected with the central part of the vertebral body and occupying the space less than interpedicular one with linear displacement. Conclusion. Type I fragments are most favorable for application of indirect reduction, while Types II and III fragments are less likely reduced by transpedicular fusion and ligamentotaxis than by anterior spinal canal remodeling. Accounting for a type of fragment displacement into the spinal canal is important in preoperative planning for burst fracture surgery.

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Surgical Treatment of Burst Fractures of the Thoracic and Lumbar Spine Accompanied with Spinal Canal Narrowing

Cited by 8 publications

References 19 publications

Surgical Treatment of Three-Column Ligamentous Extension Injury of the Thoracic Spine in a Patient With Ankylosing Spondylitis

Surgical Treatment of Three-Column Ligamentous Extension Injury of the Thoracic Spine in a Patient With Ankylosing Spondylitis

Experimental Validation of Transpedicular Fixation System Modification

Post-Traumatic Spinal Canal Narrowing and Its Surgical Remodeling for Thoracic and Lumbar Burst Fractures

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