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Posterior instrumentation for thoracolumbar trauma
1Back Treatment Center, University of Cincinnati, Department of Engineering, OH, USA.
Clinical Orthopaedics and Related Research
|February 1, 1997
Summary
Posterior spinal instrumentation effectively stabilizes unstable thoracolumbar spine fractures. This method allows patient mobilization, pain relief, and spinal realignment without requiring anterior surgery.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Surgery
Background:
- Thoracolumbar spine fractures and fracture dislocations often present as acute sagittal plane deformities.
- Unstable injuries necessitate stabilization for patient mobilization, pain relief, spinal realignment, and neural decompression.
Purpose of the Study:
- To evaluate the efficacy of posterior spinal instrumentation for managing unstable thoracolumbar spine injuries.
- To determine if anterior spinal surgery is necessary in conjunction with posterior techniques.
Main Methods:
- Review of posterior spinal instrumentation techniques, including rod hook systems and screw rod/plate systems.
- Analysis of outcomes for managing thoracolumbar spine fractures and fracture dislocations.
Main Results:
- Posterior spinal instrumentation is a safe, available, familiar, and effective method for stabilization.
- Most unstable thoracolumbar injuries can be successfully managed with posterior techniques alone.
Conclusions:
- Posterior spinal instrumentation is a primary and effective treatment for unstable thoracolumbar spine injuries.
- Anterior spinal surgery is often unnecessary when utilizing established posterior instrumentation techniques.