Anterior decompression and fusion for thoracolumbar fractures with neurological deficits

B. Young, W. H. Brooks, P. A. Tibbs

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Anterior spinal decompression and fusion was used as the primary treatment for thoracolumbar fractures in eleven patients with neurological deficits. Each patient achieved stability by interbody fusion. Significant progressive kyphosis did not occur. No patient with a complete neurological deficit was improved by operation, but all eight patients with partial neurological deficits showed improved lower extremity motor function postoperatively. Bladder function improved in five of the eight patients with incomplete lesions. The authors recommend this operative approach for spinal stabilization and removal of anteriorly located bone or disc fragments causing progressing and stable partial neurological deficits, and find second-stage posterior fixation with Harrington rods unnecessary in the great majority of cases.

Original languageEnglish
Pages (from-to)287-298
Number of pages12
JournalActa Neurochirurgica
Volume57
Issue number3-4
DOIs
StatePublished - Sep 1981

Keywords

  • Harrington rods
  • Spinal cord injuries
  • anterior approach
  • anterior spinal fusion
  • cauda equina injuries
  • spinal injuries
  • thoracolumbar fractures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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