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. 1999;23(2):87-90.
doi: 10.1007/s002640050314.

Split coronal fractures of the lumbar spine. Treatment by posterior internal fixation and transpedicular bone grafting

H De Boeck  1 , P Opdecam
Affiliations

Split coronal fractures of the lumbar spine. Treatment by posterior internal fixation and transpedicular bone grafting

H De Boeck et al. Int Orthop. 1999.

Abstract
in English, French

The clinical and radiological results of 12 patients with a split coronal vertebral fracture were analysed with minimum follow-up of 24 months. All patients were treated operatively with an AO internal spinal fixator and transpedicular bone grafting. The operation was supplemented with posterior bone grafts in 4 patients. All fractures healed without marked deformity. There were no vertebral body pseudarthroses. There were no neurological or vascular injuries due to the placement of pedicle screws or to transpedicular bone grafting. 10 patients, had excellent or good results.

Les résultats cliniques et radiologiques de douze patients victimes d’une fracture du corps vertébral à trait frontal ont été analysé. Tous les patients avaient été opérés suivant la même technique: fixation interne de l’AO associéà une greffe osseuse transpédiculaire. Quatre de ces patients ont bénéficié en outre d’une greffe osseus postérieure. Toutes les fractures ont consolidées sans déformation marquante. Il n’y a pas de pseudarthrose du corps vertébral. Il n’y a pas eu de troubles neurologiques ou vasculaires dûs aux vis pédiculaires ou à la greffe transpédiculaire. Sur un suivi de minimum 24 mois, dix des douze patients ont un résultat classé excellent ou bon.

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