Surgical treatment of thoracolumbar fractures.


Journal Article (Review)

Many studies indicate that spinal canal decompression and stabilization lead to improved neurologic recovery in patients with incomplete neurologic deficits. It is recognized that surgical stabilization of unstable thoracolumbar injuries with complete neurologic deficit or without deficit reduces hospital stay, improves spinal alignment, shortens rehabilitation, and results in fewer medical complications. Unfortunately, many aspects of management remain controversial. For many injuries, more than one treatment method has been shown to be efficacious, although certain injuries have improved outcome with specific treatment modalities. This article is an overview of indications for surgery, operative approaches, types of instrumentation, and treatment options for specific thoracolumbar injuries.

Full Text

Duke Authors

Cited Authors

  • Shaffrey, CI; Shaffrey, ME; Whitehill, R; Nockels, RP

Published Date

  • October 1997

Published In

Volume / Issue

  • 8 / 4

Start / End Page

  • 519 - 540

PubMed ID

  • 9314520

Pubmed Central ID

  • 9314520

Electronic International Standard Serial Number (EISSN)

  • 1558-1349

International Standard Serial Number (ISSN)

  • 1042-3680

Digital Object Identifier (DOI)

  • 10.1016/s1042-3680(18)30298-5


  • eng