Anterior D-rod and titanium mesh fixation for acute mid-lumbar burst fracture with incomplete neurologic deficits: A prospective study of 56 consecutive patients

摘要: Background: Anterior decompression and reconstruction have gained wide acceptance as viable alternatives for unstable mid-lumbar burst fracture, but there are no mid long term prospective studies regarding clinical radiologic results of fractures. Materials Methods: An Institutional Review Board-approved study 56 consecutive patients fractures with a load-sharing score 7 or more treated anterior plating was carried out. All were evaluated outcomes. The fusion status, spinal canal compromise, segmental kyphotic angle (SKA), vertebral body height loss (VBHL), adjacent segment degeneration examined outcome, whereas the American Spinal Injury Association scale, visual analog scale (VAS), employment status used evaluation. Results: underwent followup at least 5 years after surgery. At last followup, case internal fixation failure, degeneration, other complications. Interbody achieved in all cases. average time 4.5 months. No patient suffered neurological deterioration neurologic recovery 1.3 grades on final observation. Based VAS pain scores, percentage VBHL SKA, difference statistically significant between preoperative period postoperative ( P > 0.05). Thirty-four who employed before injury returned to work operation, 15 had changed less strenuous work. Conclusion: Good clinicoradiological D-rod titanium mesh suitable incomplete deficits can be achieved. incident rate complications low. is reliable implant has some potential advantages L4