Menu
Menu
19 Harley St, London, W1G 9QJ, UK
We are London's Top Spine Clinic

The Posterior Transthecal Approach for Repair of Cauda Equina Fibers and Ventral Dural Laceration in Lumbar Burst Fracture: A Novel Surgical Technique.

The Posterior Transthecal Approach for Repair of Cauda Equina Fibers and Ventral Dural Laceration in Lumbar Burst Fracture: A Novel Surgical Technique.

Spine (Phila Pa 1976). 2013 Jun 11;

Authors: Huang AP, Chen CM, Lai HS, Chou CC, Lu DC, Kuo LT, Chuang HY, Tsai JC

Abstract
Study Design. Retrospective descriptive study of an innovative surgical technique for thoracolumbar fracture patients.Objective. To describe the transthecal approach for thoracolumbar fracture patients and demonstrate its safety and effectiveness.Summary of Background Data. The goals of surgery in patients with thoracolumbar fracture include neural decompression, reestablishing stability, reduction of deformity, and repair of dural laceration and the damaged neural elements. The traditional posterior approach may only accomplish the former three goals.Methods. Simply opening the dura during the traditional posterior approach enables accomplishment of all the aforementioned goals, which would not be possible through an anterior or posterior approach alone.Results. We have successfully performed the transthecal approach in 5 patients with thoracolumbar burst fracture with cauda equina fiber injury. Neural decompression, reestablishing stability, reduction of deformity, and repair of dural laceration and the damaged cauda equina fiber were all achieved in these patients. No complications were noted.Conclusion. The transthecal approach can be applied to patients with thoracolumbar burst fracture to achieve neural decompression, reestablishing stability, reduction of deformity, and repair of dural laceration and the damaged cauda equina fiber. This approach may be an alternative to combined (circumferential) surgery.

PMID: 23759808 [PubMed – as supplied by publisher]

Share to care...

Share on facebook
Facebook
Share on twitter
Twitter
Share on pinterest
Pinterest
Share on google
Google+
Share on linkedin
LinkedIn
Share on skype
Skype

What we do...

The Harley Street Hospital

Testimonials

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.

We treat 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

What our patients say about us ......

Radicular leg pain

I have been very well treated except on one occasion I was kept waiting 1 hour for an appointment. Terry D. You May Also Like:Injections

Read More »