Skip Navigation
Skip to contents

J Trauma Inj : Journal of Trauma and Injury

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
2 "Lumbar vertebrae"
Filter
Filter
Article category
Keywords
Publication year
Authors
Case Reports
Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture: a case report
Woo Seok Kim, Tae Seok Jeong, Woo Kyung Kim
J Trauma Inj. 2023;36(3):290-294.   Published online June 9, 2023
DOI: https://doi.org/10.20408/jti.2022.0075
  • 799 View
  • 25 Download
AbstractAbstract PDF
Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column reconstruction include anterior, lateral, and posterior approaches. In cases involving an anterior or lateral approach, collaboration with general or thoracic surgeons may be necessary because the adjacent anatomical structures are unfamiliar to spinal surgeons. Risks include vascular or lumbar plexus injuries and cage displacement, and in most cases, additional posterior fusion surgery is required. However, the posterior approach is the most common and anatomically familiar approach for surgeons performing spinal surgery. We present a case in which three-column reconstruction was performed using only the posterior approach to treat a patient with a severe lumbar burst fracture.
Summary
Indirect Reduction and Spinal Canal Remodeling through Ligamentotaxis for Lumbar Burst Fracture
Wu Seong Kang, Jung Chul Kim, Ik Sun Choi, Sung Kyu Kim
J Trauma Inj. 2017;30(4):212-215.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.212
  • 5,537 View
  • 67 Download
AbstractAbstract PDF

The choice of the most appropriate treatment for thoracolumbar or lumbar spine burst fracture remains controversial from conservative treatment to fusion through a posterior or anterior approach. There are many cases where ligamentotaxis is used to reduce the burst fracture. However, indirect reduction using ligamentotaxis is often limited in the magnitude of the reduction that it can achieve. In our patient with severe burst fracture, we were able to restore an almost normal level of vertebral height and secure spinal canal widening by using only ligamentotaxis by posterior instrumentation. Before the operation, the patient had more than 95% encroachment of the spinal canal. This was reduced to less than 10% after treatment.

Summary

J Trauma Inj : Journal of Trauma and Injury