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Updated: Jul 16, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
[Operative strategy of the thoracolumbar fracture dislocation]
Yi-Jun Kang1, Jin-Hai Kong, Guo-Hua Lü
1Department of Spine Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Objective:
To explore the operative strategy and clinical outcome of the thoracolumbar fracture dislocation.
Methods:
Forty-two patients with the thoracolumbar fracture dislocation were treated with anterior approach (10 patients), posterior approach (28 patients), and anterior combined with posterior approach (4 patients) in order to construct the stabilities of the spine. The ASIA grades were used to evaluate the recovery of the neurological function, and the improvement of the kyphosis deformities was evaluated by the cobb's angle post-operation.
Results:
All the patients had no complications of injury in the vascular and neurological system. The ASIA grades after the operation were superior to those of pre-operation, and the cobb's angle was rectified distinctly.
Conclusion:
When appropriate operative strategies are adopted, thoracolumbar fracture dislocation can be treated with satisfactory outcome.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Assessment:
1. Clinical Evaluation:
History:

