TRANSPEDICULAR DECOMPRESSION AND STABILIZATION OF BURST FRACTURES OF THE LUMBAR SPINE

Twenty-seven consecutive patients with neurological impairment due to burst fractures of the lumbar spine were operated upon, via the poster o-lateral route, over a 38-month-period. Transpedicular fixation devic es [posterior segmental fixator (PSF) or variable screw placement syst em (VSP)] were applied in all cases, in order to achieve short-segment fusion of the fractured spinal segment. Return to useful motor power or neurological normality (median follow-up: 18.7 months) occurred in 22 cases (81% of the whole series), with this outcome resulting in all but one of the cases with preoperative incomplete neurological defici t. Postoperative encroachment of the spinal canal, degree of kyphotic deformity, and reduction of the vertebral height showed statistically significant differences compared with the corresponding preoperative v alues.