Outcome of Posterolateral Single Stage Corpectomy and Posterior Fixation in Patients with Spine Traumatic Vertebral Fracture; Case Series

Mehdi Abili, Reza Akhavan Sigari

Abstract


Background: Posterolateral approaches have been used to successfully perform corpectomies for traumatic fractures. This study aims to assess the outcome of posterolateral single stage corpectomy and posterior fixation in patients with spine traumatic vertebral fracture.

Materials and Methods: This was a case series including 8 patients with traumatic vertebral fractures referring to our center in Gottingen University from October 2011 to September 2013. All the patients had traumatic vertebral fracture and incomplete cord damage. All the patients underwent corpectomy through posterolateral approach and anterior cage insertion was performed along with posterior pedicular screw fixation. Patients were followed after the operation for 12 months and the standard neurological classification of spinal cord injury (ASIA) score was assessed for each patient. 

Results: Overall we included 8 patients who underwent the procedure. All the patient had an uneventful operation and postoperative period. Mean ASIA score increased significantly after 12 months follow up. None of the patients developed complication during the follow-up period.

Conclusion: Single stage corpectomy and posterior fixation approach can be beneficial for incomplete traumatic burst fractures.


Keywords


Posterolateral corpectomy; Posterior fixation; Traumatic vertebral fracture; Burst fracture