Modified anterior approach and inner fixation technique for thoracolumbar vertebral bursting fracture
TANG Jie-fu
LI Feng
MA Qing-jun
ZENG Xiang-bin
MAN Yi-wang
PENG Xiang-lin
ZHOU Shao-cheng
HUANG Sha
Abstract：Objective To observe modified anterior approach incision and inner fixation technique for thoracolumbar vertebral bursting fracture. Methods Inverted "L" shape Incision was applied, meanwhile vertebral segment vessels was cut or ligated and intervertebral disc of fracture vertebra was removed. Results Fifty-two cases with thoracolumbar vertebral bursting fracture were treated. The incisions ranged between 14 and 20 cm (mean 17 cm). Forty-seven cases got fresh fracture and blood loss was 300-700 ml (mean 490 ml). The operation duration was 120-210 min (mean 156 min). 5 cases had old fracture with blood loss 800-1100 ml(mean 1050 ml). The operation duration was 210-240 min. During follow-ups, the bone graft sinking and loss of deformity correction was not found. The spinal nerves function gained different levels of recovery. Conclusion The modified anterior approach incision and inner fixation technique for thoracolumbar vertebral decrease blood loss, shorten operating time with reduced trauma and less complications.
Keywords：Bursting fractureThoracic vertebraLumbar vertebra
Publication Date：2009-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 201-202 )