Surgical technique and results of anterior approaches to the thoracik and lumbar spine trauma

Authors

  • E. I. Slynko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • V. V. Sokolov Kiev City Clinical Hospital № 17, Kiev, Ukraine
  • V. V. Verbov Romodanov Neurosurgery Institute, Kiev, Ukraine

Keywords:

trauma, anterior approach, corporectomy, stabilization

Abstract

Patients with spinal trauma may be treated with either nonoperative of surgical measures, which include anterior procedures, posterior procedures and combination of those. When anterior compression of neural structures is obvious, the anterior spinal surgery is the reliable method to decompress the cord adequately and to reconstruct and stabilize the anterior vertebral column. We summarize anterior spinal fusion surgical procedures performed in 9 patients with thoraco-lumbar injuries. Surgical techniques of the approaches used and those advantages are described in details.

References

Albin M.S. Resuscitation of the spinal cord // Critical Care Medicine.—1978.—V.6,№4.—P.270–279.

Almond P.S., Pesson C., MacEwen D., Zembo M., King A., Falterman K., Arensman R. Analysis of the two-team approach to anterior spinal fusion

// South Med. J.—1990.—V.83, №11.—P.1273–1276.

Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries // Spine.—1983.—V.8, №8.—P.817–—831.

Denis F., Armstrong G.W., Searls K., Matta L. Acute thoracolumbar burst fractures in the absence of neurologic deficit. A comparison between operative and nonoperative treatment // Clin Orthop.—1984.—V.189, №10.—P.142–149.

Frankel H.L., Hancock D.O., Hyslop G., Melzak J., Michaelis L.S., Ungar G.H., Vernon J.D., Walsh J.J. The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia // Paraplegia.—1969.—V.7.—P.179–192.

Haas N., Blauth M., Tscherne H. Anterior plating in thoracolumbar spine injuries. Indication, technique, and results // Spine.—1991.—V.16, №3, Suppl.—P.100–111.

Lonstein J.E., Denis F., Perra J.H., Pinto M.R., Smith M.D., Winter R.B. Complications associated with pedicle screws // J. Bone Jt. Surg. Am.—1999.—V.81, №11.—P.1519–1528.

McLain R.F., Sparling E., Benson D.R. Early failure of short-segment pedicle instrumentation for thoracolumbar fractures. A preliminary report // J. Bone Jt. Surg. Am. — 1993.—V.75, №2.—P.162–167.

McMurtry R.Y., McLellan B.A. Management of blunt trauma.—Williams & Wilkins: Baltimore, 1990.—479 p.

Spivak J.M., Vaccaro A.R., Cotler J.M. Thoracolumbar Spine Trauma: II. Principles of Management // J. Amer. Acad. Orthop. Surg.—1995.—V.3, №6.—P.353–360.

How to Cite

Slynko, E. I., Sokolov, V. V., & Verbov, V. V. Surgical technique and results of anterior approaches to the thoracik and lumbar spine trauma. Ukrainian Neurosurgical Journal, (4), 66–72. Retrieved from https://theunj.org/article/view/107663

Issue

Section

Original articles