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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 122 - 128 (7page)
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초록· 키워드
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Objective : To illustrate the technique of single-stage posterior subtotal corpectomy and circumferential reconstruction for the treatment of unstable thoracolumbar burst fractures and to evaluate the radiographical and clinical outcomes of patients treated using this technique. Methods : 16 consecutive patients with unstable thoracolumbar burst fractures were treated with single-stage posterior subtotal corpectomy and circumferential reconstruction. The mean patient age was 54.8 years. The mean follower up period was 25 months. Five patients suffered from T12 fractures, 10 from L1, 1 from L2. The segmental kyphosis, neurologic status, visual analogue scale for back pain was evaluated before surgery and at follow up. Results : The segmental kyphotic angle improved from 18.5 degrees before surgery to -9.2 degrees at the last follow up. The mean correction angle was 28.9 degrees. The mean surgical time was 255 minutes, and a mean intraoperative blood loss was 1073 mL. Intraoperative complications included two dural tears, and a superficial wound infection. There were no other severe complications. The mean visual analog scale of back pain decreased from a mean value of 6.6 to 2 at the last follow up. Conclusion : The single-stage posterior subtotal corpectomy and circumferential reconstruction achieved satisfactory kyphosis correction with direct visualization of the circumferentially decompressed spinal cord, as well as good fusion with less blood loss and complications. It is a safe and reliable surgical treatment option for unstable thoracolumbar burst fractures.
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등록된 정보가 없습니다.
참고문헌 (41)
참고문헌 신청
Acosta FL / 2005 / Kyphoplasty-augmented short-segment pedicle screw fixation of traumatic lumbar burst fractures : initial clinical experience and literature review / Neurosurg Focus 18:e9
Aebi M / 1987 / Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system. Indications, techniques, and first results of treatment / Spine 12:544~551
Akbarnia BA / 1994 / Use of long rods and a short arthrodesis for burst fractures of the thoracolumbar spine. A long-term follow-up study / J Bone Joint Surg Am 76:1629~1635
Alanay A / 2001 / Short-segment pedicle instrumentation of thoracolumbar burst fractures : does transpedicular intracorporeal grafting prevent early failure? / Spine 26:213~217
Altay M / 2007 / Treatment of unstable thoracolumbar junction burst fractures with short- or long-segment posterior fixation in magerl type a fractures / Eur Spine J 16:1145~1155
Aebi M / 1987 / Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system. Indications, techniques, and first results of treatment / Spine 12:544~551
Akbarnia BA / 1994 / Use of long rods and a short arthrodesis for burst fractures of the thoracolumbar spine. A long-term follow-up study / J Bone Joint Surg Am 76:1629~1635
Alanay A / 2001 / Short-segment pedicle instrumentation of thoracolumbar burst fractures : does transpedicular intracorporeal grafting prevent early failure? / Spine 26:213~217
Altay M / 2007 / Treatment of unstable thoracolumbar junction burst fractures with short- or long-segment posterior fixation in magerl type a fractures / Eur Spine J 16:1145~1155
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