caa a22 4500 445832436 CHVBK 20180317145319.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00586-011-1875-6 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1875-6 Thoracolumbar burst fractures with a neurological deficit treated with posterior decompression and interlaminar fusion [Elektronische Daten] [Cheng-Meng Ge, Yu-Ren Wang, Sheng-Dan Jiang, Lei-Sheng Jiang] Introduction: To our knowledge, thoracolumbar burst fractures with a neurological deficit treated with posterior decompression and interlaminar fusion have never been reported. Our study was to assess the outcome of posterior decompression and interlaminar fusion in treating thoracolumbar burst fractures with a neurological deficit. Materials and methods: Forty-one patients suffering from thoracolumbar burst fractures with a neurological deficit were included this study. All patients were treated with posterior decompression, interlaminar fusion and short-segment fixation of the vertebrae above and below the fracture level and the fractured vertebrae. Results: All patients were followed up for at least 24months after surgery. Operative time and blood loss averaged 72min and 325ml, respectively. Thirty-eight patients with incomplete neurological lesions improved, by at least one American Spine Injury Association grade, whereas no neurological deterioration was observed in any case. Overall sagittal alignment improved from an average preoperative 22.4°-4.6° kyphosis at the final follow-up observation. The anterior vertebral body height ratio improved from 0.61 before surgery to 0.90 after surgery, whereas posterior vertebral body height ratio improved from 0.90 to 0.95. Spinal canal encroachment was reduced from an average 61.5% before surgery to 8.7% after surgery. Interlaminar radiological fusion was achieved within 6-8months after surgery. No instrumentation failure was found in any patients. Conclusion: Posterior decompression, interlaminar fusion with posterior short-segment fixation provided excellent immediate reduction for traumatic segmental kyphosis and significant spinal canal clearance, and restored vertebral body height in the fracture level in patients with a thoracolumbar burst fracture and associated neurological deficit. Springer-Verlag, 2011 Burst fracture nationallicence Neurological deficit nationallicence Thoracolumbar spine nationallicence Fusion nationallicence Ge Cheng-Meng Department of Orthopaedic Surgery, Wenzhou 2nd People's Hospital, Wenzhou, Zhejiang, China aut Wang Yu-Ren Department of Orthopaedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, 200092, Shanghai, China aut Jiang Sheng-Dan Department of Orthopaedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, 200092, Shanghai, China aut Jiang Lei-Sheng Department of Orthopaedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, 200092, Shanghai, China aut European Spine Journal Springer-Verlag 20/12(2011-12-01), 2195-2201 0940-6719 20:12<2195 2011 20 586 https://doi.org/10.1007/s00586-011-1875-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1875-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ge Cheng-Meng Department of Orthopaedic Surgery, Wenzhou 2nd People's Hospital, Wenzhou, Zhejiang, China aut NATIONALLICENCE 700 1- Wang Yu-Ren Department of Orthopaedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Sheng-Dan Department of Orthopaedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Lei-Sheng Department of Orthopaedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, 200092, Shanghai, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/12(2011-12-01), 2195-2201 0940-6719 20:12<2195 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer