Transpedicular Corpectomy and Cage Placement in the Treatment of Traumatic Lumbar Burst Fractures.

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Abstract

[Indexed for MEDLINE] 19. Orthopedics. 2006 Aug;29(8):703-8. doi: 10.3928/01477447-20060801-14. Short segment fixation of thoracolumbar burst fractures. Scholl BM(1), Theiss SM, Kirkpatrick JS. Author information: (1)The Orthopedic Center, Huntsville, USA. Short segment instrumentation for thoracolumbar fractures or fracture dislocations continues to be controversial. Recently, a load-sharing classification score was developed to help predict failure of posterior instrumented fusion alone used for highly comminuted and kyphotic fractures. Twenty-two patients treated with short-segment posterior instrumentation for thoracolumbar fractures were retrospectively reviewed. Although posterior instrumented fusion was used for fractures with a relatively high load sharing classification score, the load-sharing classification score was not predictive of posterior instrumentation failure. Single-level cephalad instrumentation failed at a higher rate than two-level cephalad instrumentation. DOI: 10.3928/01477447-20060801-14