Cruz LF

Language: Spanish
References: 7
Page: 131-138
PDF size: 194.77 Kb.

ABSTRACT

Surgical management of thoracolumbar fractures depends on the type of each one, the stability of the spine, the presence or not of neurological damage and surgeon preference. Therefore, the goals of treatment are: nervous tissue decompression as possible and providing stability to the spine with the lowest number of segments involved. Fractures type A can be treated through posterior access just with ligamentotaxis and corporectomy only if it is necessary. Surgical management of burst fractures may be treated directly by anterior approach to do both procedures; decompression and restitution of the vertebral body or by posterior approach making instrumentation looking to get an indirectly reduction. However, it seems to be that when reduction is done through anterior approach, development is better. The most frequent complication is a residual kyphosis. A circumferential handling is recommended only when the fracture is very unstable. Fractures by flexo-distraction can be treated through instrumentation without fusion, searching only fracture consolidation and retiring instrumentation after it. Instead in the dislocation fractures, it is necessary to reduce the dislocation and perform fusion two levels above and two below.

REFERENCES

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