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J Trauma Inj : Journal of Trauma and Injury

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Case Report
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
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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.
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J Trauma Inj : Journal of Trauma and Injury