Department of Spine Surgery, University Hospital of Strasbourg, Strasbourg Cedex, France.
Eur Spine J. 2010 Mar;19 Suppl 1(Suppl 1):S48-51. doi: 10.1007/s00586-009-1165-8. Epub 2009 Oct 1.
Thoracolumbar fractures (T11-L2) complicated by malunion often need surgery. In our hands two approaches are necessary for release and fusion. Correction is obtained by posterior bending in situ of a screw rod fixation. When the deformity is flexible, first we perform a posterior reduction and stabilization, and secondly an anterior approach for interbody fusion. When spine is rigid an anterior release with waiting bone graft is performed first followed by a second posterior reduction and stabilization. This strategy allows a real correction without the loss of correction in time. This technique is fast and safe as demonstrated in our series of 20 patients.
胸腰椎骨折（T11-L2）合并畸形愈合常需手术治疗。在我们手中，两种入路对于松解和融合都是必需的。通过在原位弯曲棒螺钉固定来获得矫正。当畸形具有柔韧性时，我们首先进行后路复位和稳定，然后进行前路椎间融合。当脊柱僵硬时，首先进行前路松解和等待植骨，然后进行第二次后路复位和稳定。这种策略可以在不丢失矫正的情况下实现真正的矫正。我们的 20 例患者系列研究表明，该技术快速且安全。
