[Operative strategy of the thoracolumbar fracture dislocation].

OBJECTIVE

To explore the operative strategy and clinical outcome of the thoracolumbar fracture dislocation.

METHODS

Forty-two patients with the thoracolumbar fracture dislocation were treated with anterior approach (10 patients), posterior approach (28 patients), and anterior combined with posterior approach (4 patients) in order to construct the stabilities of the spine. The ASIA grades were used to evaluate the recovery of the neurological function, and the improvement of the kyphosis deformities was evaluated by the cobb's angle post-operation.

RESULTS

All the patients had no complications of injury in the vascular and neurological system. The ASIA grades after the operation were superior to those of pre-operation, and the cobb's angle was rectified distinctly.

CONCLUSION

When appropriate operative strategies are adopted, thoracolumbar fracture dislocation can be treated with satisfactory outcome.