The fixateur interne in the reduction and stabilization of thoracolumbar spine fractures in patients with neurologic deficit

Research output: Contribution to journalArticle

127 Citations (Scopus)

Abstract

A prospective analysis of 80 consecutive patients who underwent stabilization with the fixateur interne for thoracolumbar spine fractures with complete or incomplete paraplegia was undertaken to determine the results after bone healing. Follow-up examination at an average of 35 months (minimum, 24 months) included all 76 patients still alive. One patient died from a pulmonary embolism, and there were three other unrelated deaths. The mean wedge angle of the fractured vertebra was corrected from 17.4° to 7.9° and remained almost unchanged after 1 year (8.4°) and 2 years, or 1 year after implant removal (8.2°). Also, the wedge index showed nearly no bony loss of correction within the reduced fracture vertebra (0.61 before operation, 0.83 after operation; 0.81 at 1-year follow-up, 0.81 at 2-year follow-up, respectively). In the kyphosis angle measured by the Cobb method, however, there was a loss of 5° after implant removal within the next year because of the disc space collapsed above the fractured vertebra. In this series, 70% of the cases had no formal fusion. All 29 cases of translational displacement of 4-36 mm were anatomically reduced. No neurologic or vascular complication occurred. Posterolateral fusion or transpedicular interbody fusion in the disrupted disc space is recommended.

Original languageEnglish (US)
JournalSpine
Volume16
Issue number3 SUPPL.
StatePublished - 1991
Externally publishedYes

Fingerprint

Neurologic Manifestations
Spine
Kyphosis
Paraplegia
Pulmonary Embolism
Nervous System
Blood Vessels
Bone and Bones

Keywords

  • internal fixation of spine fractures
  • thoracolumbar spine fractures pedicle instrumentation
  • transpedicular grafting

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

The fixateur interne in the reduction and stabilization of thoracolumbar spine fractures in patients with neurologic deficit. / Lindsey, Ronald; Dick, W.

In: Spine, Vol. 16, No. 3 SUPPL., 1991.

Research output: Contribution to journalArticle

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