19 Harley St, London, W1G 9QJ, UK

Expandable versus nonexpandable cages for thoracolumbar burst fracture

BACKGROUND: Burst fractures account for more than half of all thoracolumbar fractures and are frequently associated with spine instability and neurological deficit. The anterior approach is favored when decompression of the spinal canal is necessary. We compare two commonly available struts used for anterior approach after corpectomy: expandable versus nonexpandable titanium cages. METHODS: We retrospectively evaluated 32 patients with acute thoracolumbar burst fractures treated by a single surgeon with a mean follow-up of 13 months. Half of the patients had nonexpandable cages placed (group 1) and the other half had expandable cages placed (group 2). Anterolateral plate/screw supplementation was used in all patients. Radiographs were reviewed to assess kyphosis correction and bony fusion. RESULTS: In group 1, the mean kyphotic angle before surgery was 20.5 degrees. Immediately after surgery, this angle improved to 6 degrees and was 8.5 degrees at final follow-up. In group 2, the mean kyphotic angle before surgery was 21.5 degrees. This angle improved to 4 degrees immediately after surgery and was 6.5 degrees at final follow-up. At the end of follow-up, 2 of 16 patients in group 1 demonstrated pseudoarthrosis, whereas no patients in group 2 showed any evidence of nonunion. No patient in either group experienced hardware failure or new neurological deficit. CONCLUSIONS: Anterior decompression and instrumented stabilization with either an expandable or nonexpandable cage is a safe and reliable surgical treatment option for unstable thoracolumbar burst fractures. Expandable cage enables greater immediate correction of kyphosis with good fusion rate

Keywords : Adolescent,Adult,Aged,California,Female,Fractures,Compression,Humans,injuries,Internal Fixators,Kyphosis,Lumbar Vertebrae,Male,methods,Middle Aged,pathology,Retrospective Studies,Spinal Canal,Spinal Fractures,Spine,standards,surgery,Thoracic Vertebrae,Titanium,Young Adult,, Versus,Nonexpandable,Cages,Thoracolumbar, neck pain patient uk

Date of Publication : 2011 Jan

Authors : Eleraky MA;Duong HT;Esp E;Kim KD;

Organisation : Department of Neurological Surgery, University of California, Davis, Sacramento, California, USA

Journal of Publication : World Neurosurg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21492680

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Expandable versus nonexpandable cages for thoracolumbar burst fracture | How to perform deep tissue massage

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810