Dural laceration occurring with burst fractures and associated laminar fractures.

摘要: The cases of sixty patients in whom a burst fracture thoracic or lumbar vertebral body had been treated with posterior instrumentation and arthrodesis less than two weeks after the injury were retrospectively reviewed. Thirty an associated laminar fracture. Eleven thirty, all preoperative neurological deficit, noted at operation to have dural laceration. In four who laceration, neural elements entrapped between fragments from None remaining thirty did not laceration (p = 0.0002). Univariate multivariate statistical analysis revealed no significant association patients' age sex, radiographic characteristics spine. There was deficit 0.0001). our series, presence patient sensitive (100 per cent) specific (74 predictor this pattern also predicted risk elements. This information may influence decisions as whether anterior surgical approach should be used such patients.