Restoration of Anterior Vertebral Height by Short-Segment Pedicle Screw Fixation with Screwing of Fractured Vertebra for the Treatment of Unstable Thoracolumbar Fractures


OZDEMIR B. , KANAT A. , ERTURK C., Batcik O. E. , BALIK M. S. , YAZAR U., ...More

WORLD NEUROSURGERY, vol.99, pp.409-417, 2017 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 99
  • Publication Date: 2017
  • Doi Number: 10.1016/j.wneu.2016.11.133
  • Title of Journal : WORLD NEUROSURGERY
  • Page Numbers: pp.409-417
  • Keywords: Anterior vertebral height, Fractured vertebra, Short-segment pedicle screw fixation, Thoracolumbar fractures, SPINAL SUBARACHNOID HEMORRHAGE, LUMBAR DISC HERNIATION, BURST FRACTURES, POSTERIOR FIXATION, ARTERY VASOSPASM, BIOMECHANICAL ANALYSIS, GANGLION DEGENERATION, EARLY FAILURE, INSTRUMENTATION, STABILIZATION

Abstract

BACKGROUND: The treatment of unstable thoracolumbar fractures remains controversial. Long-segment pedicle screw constructs may be stiffer and impart greater forces on adjacent segments compared with short-segment constructs. Short-segment pedicle screw fixation alone may be associated with instrumentation failure. Reinforcement fractured vertebra by the placement of an additional 2 screws at fracture level may be useful in thoracolumbar fractures for restoration of anterior vertebral height.