Abstract
Fractures of the thoracolumbar junction can lead to regional kyphosis, this being a significant cause of pain and disability for the patients. After a traumatic fracture of the thoracolumbar spine, early or late regional kyphosis can be observed. This post-traumatic deformity can, however, be corrected with appropriate surgical methods. Posterior tricolumnar osteotomies are some of the most powerful methods of correction and are particularly indicated when sagittal and coronal deformities have to be simultaneously corrected or when anterior surgery is not possible. Anterior corpectomy and lengthening with posterior instrumentation are, however, an alternative technique to restore the anterior column support and to correct the regional kyphotic deformity and an option for appropriate sagittal balance restoration and control of symptoms. Proper surgical technique, evaluation of the bone quality and identification of eventual extension of the deformity to the thoracic spine are key aspects in prevention of failures.
| Original language | English |
|---|---|
| Journal | European Journal of Orthopaedic Surgery and Traumatology |
| Volume | 24 |
| Issue number | SUPPL.1 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Post-traumatic kyphosis
- Thoracolumbar junction
- Thoracolumbar kyphosis
- Vertebral osteotomies
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
- Medicine(all)
Cite this
Spinal osteotomies to treat post-traumatic thoracolumbar deformity. / Cecchinato, R.; Berjano, P.; Damilano, M.; Lamartina, C.
In: European Journal of Orthopaedic Surgery and Traumatology, Vol. 24, No. SUPPL.1, 2014.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Spinal osteotomies to treat post-traumatic thoracolumbar deformity
AU - Cecchinato, R.
AU - Berjano, P.
AU - Damilano, M.
AU - Lamartina, C.
PY - 2014
Y1 - 2014
N2 - Fractures of the thoracolumbar junction can lead to regional kyphosis, this being a significant cause of pain and disability for the patients. After a traumatic fracture of the thoracolumbar spine, early or late regional kyphosis can be observed. This post-traumatic deformity can, however, be corrected with appropriate surgical methods. Posterior tricolumnar osteotomies are some of the most powerful methods of correction and are particularly indicated when sagittal and coronal deformities have to be simultaneously corrected or when anterior surgery is not possible. Anterior corpectomy and lengthening with posterior instrumentation are, however, an alternative technique to restore the anterior column support and to correct the regional kyphotic deformity and an option for appropriate sagittal balance restoration and control of symptoms. Proper surgical technique, evaluation of the bone quality and identification of eventual extension of the deformity to the thoracic spine are key aspects in prevention of failures.
AB - Fractures of the thoracolumbar junction can lead to regional kyphosis, this being a significant cause of pain and disability for the patients. After a traumatic fracture of the thoracolumbar spine, early or late regional kyphosis can be observed. This post-traumatic deformity can, however, be corrected with appropriate surgical methods. Posterior tricolumnar osteotomies are some of the most powerful methods of correction and are particularly indicated when sagittal and coronal deformities have to be simultaneously corrected or when anterior surgery is not possible. Anterior corpectomy and lengthening with posterior instrumentation are, however, an alternative technique to restore the anterior column support and to correct the regional kyphotic deformity and an option for appropriate sagittal balance restoration and control of symptoms. Proper surgical technique, evaluation of the bone quality and identification of eventual extension of the deformity to the thoracic spine are key aspects in prevention of failures.
KW - Post-traumatic kyphosis
KW - Thoracolumbar junction
KW - Thoracolumbar kyphosis
KW - Vertebral osteotomies
UR - http://www.scopus.com/inward/record.url?scp=84903713411&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84903713411&partnerID=8YFLogxK
U2 - 10.1007/s00590-014-1464-6
DO - 10.1007/s00590-014-1464-6
M3 - Article
C2 - 24770652
AN - SCOPUS:84903713411
VL - 24
JO - European Journal of Orthopaedic Surgery and Traumatology
JF - European Journal of Orthopaedic Surgery and Traumatology
SN - 1633-8065
IS - SUPPL.1
ER -