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Korean J Spine > Volume 6(3); 2009 > Article
13
One-Step Ventro-Posterior Fusion via Transpedicular Approach for L1 Burst Fracture by Use of Expandable Cage.
Eun Seok Choi, Tae Sung Kim
1Department of Neurosurgery, HN Honam Hospital, Gwang-ju, Korea.
2Department of Neurosurgery, Kyung Hee University College of Medicine, Seoul, Korea. kumckts@chol.com
Abstract
Accepted methods of treatment of lumbar burst fractures include conservative therapy, posterior reduction and instrumentation, and anterior decompression and instrumentation. Surgery aims at the correction of the kyphotic deformity and at the decompression of the spinal cord thereby reducing pain and allowing early patient mobilization. Posterior-only procedures usually rely on ligamentotaxis or manual tamping of bone fragments for decompression of the spinal canal. Transpedicular corpectomy allow for circumferential surgery through a single posterior approach. The authors use an expandable cage to restore the normal spinal curvature and to prevent the kyphotic deformity.
Keywords: Burst fracture;Posterior transpedicular;Expandable cage


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