APPLICATION OF OSTEOPLASTY FOR COMPLEX TREATMRNT OF THE THORACIC AND LUMBAR VERTEBRAE FRACTURES
https://doi.org/10.14531/ss2009.2.25-34
Abstract
Objective. To assess the efficacy of short-segment transpedicular fixation and grafting with deproteinized bone material for injury of thoracic and lumbar vertebrae.
Material and Methods. The study included 101 patients aged 37 to 65 years with uncomplicated osteoporotic fractures of thoracic and lumbar vertebrae. Split fractures (type A2) were identified in 42.6 % of patients, burst fractures (type A3) – in 57.4 %. All patients were treated by short-segment transpedicular fixation and transpedicular osteoplasty with deproteinized bone graft (n = 82) or autograft (n = 19).
Results. Results of surgical treatment were evaluated at 6 to 40 months after operation. Good results were achieved in 79.8 % of cases, satisfactory results – in 20.2 %. The better long-term outcomes of deformity component correction at the injured spinal segment was observed in patients with deproteinized bone grafts.
Conclusion. The use of short-segment transpedicular fixation for acute osteoporotic fracture of the thoracic and lumbar vertebrae provides correction of deformity components at the injured spinal segment, and when combined with deproteinized bone grafting – maintenance of this correction and improvement of long-term results.
About the Authors
Viktor Viktorovich Rerikh
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Mikhail Anatolyevich Sadovoy
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Shukhrat Numonzhonovich Rakhmatillaev
Novosibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Rerikh V.V., Sadovoy M.A., Rakhmatillaev Sh.N. APPLICATION OF OSTEOPLASTY FOR COMPLEX TREATMRNT OF THE THORACIC AND LUMBAR VERTEBRAE FRACTURES. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2009;(2):025-034. (In Russ.) https://doi.org/10.14531/ss2009.2.25-34
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