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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
VERTEBRAL ENDPLATE, POSTERIOR LIGAMENTOUS COMPLEX AND NEURAL DYSFUNCTION: KEY FACTORS FOR POSTERIOR FUSION STRATEGY IN THORA- COLUMBAR FRACTURES
Author
Narendra Reddy M, Babul Reddy B
Email
Narendra@gmail.com
keyword
Posterior Ligamentous complex, posterior fusion, Thoracolumbar fractures
Abstract
The region between T11 and L2 is responsible for approximately 50% of spinal cord injuries and 50% of vertebral body fractures. In order to achieve long-term and instant segmental stability, posterior pedicle screw-based instrumentation and fusion are widely accepted procedures. An analysis of factors that affect surgery outcomes is necessary to optimize fusion strategies. We hypothesize that fusion and fixation strategies should differ based on the severity of vertebral endplate and PLC injury as well as sparred neural function, as both contribute to spinal stability and mobility requirements. These prospective studies have demonstrated that vertebral endplates, PLCs, and neural function all contribute significantly to fusion strategy. There were 200 traumatic thoracolumbar injuries treated by the two senior surgeons. Identifying and treating neural dysfunction as well as the integrity of vertebral endplates and PLCs is critical in a successful thoracolumbar fusion strategy
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