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[Minimally invasive dorsal stabilization of the thoracolumbar spine]

Thoracolumbar spine injuries represent the vast majority of unstable spine fractures. In common, patients are instrumented from a dorsal position while primary stabilization of those fractures using a ventral approach remains exceptional. Fracture morphology and concomitant injuries of the discoligamentous complex help to determine whether combined positions or second staged ventral positioned stabilization is indicated. While segmental stabilization and proper fracture reduction are the primary goals, the latter is of specific importance due to the angular point of the vertebral column in fractures of the thoracolumbar spine. The invasive surgical approach in open reduction and stabilization from a dorsal position seems to be replaced increasingly by less invasive angular stable internal spine fixator systems. This article describes the principle, suited indications and the limitations of one of the internal spine fixators available to achieve angular stable percutaneous dorsal stabilization

Keywords : complications,etiology,Humans,injuries,Joint Instability,methods,Minimally Invasive Surgical Procedures,Osteotomy,Spinal Injuries,Spine,surgery,Thoracic Vertebrae,, Invasive,Dorsal,Stabilization, list of elbow injuries

Date of Publication : 2011 Feb

Authors : Lendemans S;Hussmann B;Kauther MD;Nast-Kolb D;Taeger G;

Organisation : Klinik fur Unfallchirurgie, Universitatsklinikum Essen, Hufelandstrasse 55, 45122, Essen, Deutschland. sven.lendemans@uk-essen.de

Journal of Publication : Unfallchirurg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21327995

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