These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Surgical treatment of thoracolumbar fractures.
    Author: Zdeblick TA, Sasso RC, Vaccaro AR, Chapman JR, Harris MB.
    Journal: Instr Course Lect; 2009; 58():639-44. PubMed ID: 19385573.
    Abstract:
    Surgical management of a thoracolumbar fracture varies according to many factors. Fracture morphology, neurologic status, and surgeon preference play major roles in deciding on an anterior, a posterior, or a combined approach. The goal is to optimize neural decompression while providing stable internal fixation over the least number of spinal segments. Short-segment constructs through a single-stage approach (anterior or posterior) have become viable options with advances in instrumentation and techniques. Unstable burst fractures can be treated with anterior-only fixation using a strut graft and a modern thoracolumbar plating system or with a posterior-only construct using pedicle screws and possibly hooks. A circumferential construct is considered for extremely unstable injuries.
    [Abstract] [Full Text] [Related] [New Search]