ON TRANSPEDICULAR FIXATION UNDER FRACTURES OF THORACOLUMBAR PART OF SPINAL COLUMN
Abstract
Case histories of 47 patients with thoracic and lumbar vertebral injuries aging from 18 to 77 years old have been analyzed. Indications for transpedicular fixation were based on combination of some radiological signs: decrease of vertebra's body more than 1/3, kyphotic angle more than 10°, stenosis of the vertebral canal within 25% of the injury with destruction of 3 «rods post», neurological signs. Systems of Roy-Camille, Medbiotech, Osteosynthes, USS were used for operative fixation. Transpedicular vertebroplasty with bone allograft taken from iliac bone crest has been performed in 13 patients. Postoperarive patients could stand up on the 3-5th day. 29 postoperative patients were followed for distant outcomes. 4 patients had no stable construction in late postoperative period. 17 patients showed complete recovery of the height and form of the broken vertebra. So, transpedicular fixation may be success-fully used in patients with thoracic and lumbar fractures (A and B type). Anterior technologies are rational for patients with fractures of B type with destruction of a disc and C type of fracture.
References
1. Аганесов А.Г., Месхи К.Т., Николаев А.П., Костив Е.П.// Вестник травматологии и ортопедии им. Н.Н. Приорова. - 2003. - № 3. - С. 48-52.
2. Макарквич С.В., Воронович И.Р., Петренко А.М. и др.// 7-й съезд травматологов-ортопедов России: Тезисы докладов. — Новосибирск, 2002. — Ч. 1. — С. 92-93.
3. Минасов Б.Ш., Зиганшин И.Н., Костив Е.П. и др.// 7-й съезд травматологов-ортопедов России: Тезисы докладов. — Новосибирск, 2002. — Ч. 1. — С. 256-257.
4. Мусалатов Х.А., Макиров С.К., Терновой К.С., Черепанов В.Г.// 7-й съезд травматологов-ортопедов России: Тез. докл. — Новосибирск, 2002. — Ч. 1. — С. 96.
5. Мюллер М.Е., Алльговер М., Шнайдер Р., Виллинеггер Х.// Руководство по внутреннему остеосинтезу. - М., 1996. - С. 657-682.
6. Рамих Э.А., Рерих В.В., Атаманенко М. Т.// Материалы конгресса травматологов-ортопедов России. - Ярославль, 1999. - С. 232-233.
7. Аebi М., Thalgott J.S., Webb J.K.//AO ASIFPrinciples in spine surgery, 1998. — Р. 20-41.
8. Campbell's Operative Orthopaedics. - 1998 - Vol. 3. - P. 2747-2775.
Review
For citations:
Kostiv E.P. ON TRANSPEDICULAR FIXATION UNDER FRACTURES OF THORACOLUMBAR PART OF SPINAL COLUMN. Pacific Medical Journal. 2004;(3):35-38. (In Russ.)
Views:
226
Email this article 