الفهرس 
Development of the Spine
Patients and MethodsOnly 14 pages are availabe for public view
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Abstract
The last three decades have seen greet improvements in treatment of thoracoiumbar fractures.
These advances are borne on an involving understanding of spinal mechanics, injury mechanisms and improved instrumentation.
Although techniques may change, treatment should be guided by well-founded principles and detailed structural and neurologic assessment.
-Indirect reduction and posterior transpedicular instrumentation is frequently regarded the procedure of choice because it offer advantage such as short operative time, fewer blood transfusions, faster mobilization, and a decreased hospital stay resulting in lower costs.
-Management of such cases starts with a proper diagnosis of the unstable nature of these fractures.
-Standard plain X-ray combined with C.T scan help very much in defining the instability of these lesions.
-Denis classification of spinal fractures proved to be practical and more applicable for all cases in our study.
-Load shearing classification of spinal fractures is very important in the selection of fractures suitable for ligamentotaxis.
-Our study is concerned with management of thoracolumbar burst fractures with transpedicular fixation.
20 patients were operated using pedicle screw rod systems.