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Anterior approach in the surgical management of multiple lumbar fractures (clinical case)

Year: 2024, volume 20 Issue: №1 Pages: 18-21
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Ostrovskij V.V., Tolkachev V.S., Bazhanov S.P., Shulga A.E., Shuvalov S.D.
Organization: Saratov State Medical University
Summary:

Lumbar fractures are an urgent medical problem. They are often feature the compression of dural sac and roots followed by neurological deficit. This case study presents the anterior approach surgery as the method of choice for the management of multiple fractures with damage to the A and В columns ensuring optimal decompression of the spinal canal and deformity correction and avoiding multi-stage interventions.

Keywords: lumbotomy, spinal fracture, thoracotomy

Bibliography:
1. Tanasansomboon Т, Kittipibul Т, Limthongkul W, et al. thoracolumbar burst fracture without neurological deficit: Review of controversies and current evidence of treatment. World Neurosurg. 2022; (162): 29-35. DOI: 10.1016/j.wneu. 2022.03.061
2. Wood KB, Li W, Lebl DR, et al. Management of thoracolumbar spine fractures. Spine J. 2014; 14 (1): 145-64. DOI: 10.1016/j.spinee.2012.10.041
3. Krylov VV, Grin AA, Lutsik AA, et al. Clinical recommendations for the treatment of acute complicated and uncomplicated spinal trauma in adults. Nizhny Novgorod: Association of Neurosurgeons of Russia, 2013; 67 p.
4. Dimar JR 2nd, Carreon LY. Anterior spine surgery for the treatment of complex spine pathology: A state-of-the-art review. Spine Deform. 2022; 10 (5): 973-89. DOI: 10.1007/ S43390-022-00514-8
5. Ahuja CS, Nori S, Tetreault L, et al. Traumatic spinal cord injury-repair and regeneration. Neurosurgery. 2017; 80 (3S): S9-22. DOI: 10.1093/neuros/nyw080
6. Denis F. The three-column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 1983; 8 (8): 817-31. DOI: 10.1097/00007632-198311000-00003
7. Rerikh VV, Borzykh КО. Staged surgical treatment of posttraumatic deformities in the thoracic and lumbar spine. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2016; 13 (4): 21-7. DOI 10.14531/ss2016.4.21-27
8. Krylov VV, Grin AA, Kaykov AK, et al. Modern principles in surgery of injuries and diseases of the spine. Russian Sklifosovsky Journal "Emergency Medical Care". 2014; (4): 36-41.

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All articles of the authors: Bazhanov S.P., Ostrovsky V.V., Shulga A.Е., Shuvalov S.D. , Tolkachev V.S.

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