Treatment of thoracolumbar dislocation and fractures with paraplegia

Ninety per cent of fractures of the dorsal lumbar spine with paraparesis or paraplegia can be best treated and reduced by closed methods when satisfactory alignment can be obtained. The pathology of the corc can thus be allowed to regress and recover if it will do so. Strict posturing techniques are the most important part of medical and nursing care. Approximately 10 per cent of the cases can be treated by gentle, active surgical techniques such as manipulation under general anesthesia or open reduction. The use of spinal rods and clamps is rarely indicated. Surgical techniques may be advisable later for treatment of non-union with spinal stenosis and failure to improve.