OBJECTIVE: To explore the clinical effect of subtotal vertebrectomy, decompression and strut grafting in treating thoracolumbar burst @entity174 through @entity601 . METHODS: From May 2005 to July 2008, 14 @entity1 with thoracolumbar burst @entity174 were treated with subtotal vertebrectomy, decompression and strut grafting through @entity601 . There were 9 males and 5 females, ranging in age from 24 to 68 years, with an average of 42.3 years. All @entity1 were single segment @entity174 , of them, @entity3138 was in 1 case, @entity7279 in 5, L1 in 5 and L2 in 3. According to AO classification in spinal @entity174 , type A3 was in 5 cases, B1 in 3, B2 in 3, C1 in 2, C2 in 1. According to the ASIA classification in neurological function, grade A was in 3 cases, B in 3, C in 5, D in 2, E in 1. The height of anterior border vertebral body, volume of spinal canal and neurological function were analyzed by X-ray films, CT scanning and ASIA classification preoperative, postoperative and at final follow-up. RESULTS: Operative time was from 3.5 to 5.5 hours with the mean of 4.0 hours; @entity548 during operation was from 800 to 2 600 ml with the mean of 1 300 ml. Two cases with nerve @entity130 recovered without special handling after 3-6 months; 1 case with leakage of cerebrospinal fluid restored through lumbar cerebrospinal fluid drainage; 1 case with pleura tear healed through closed thoracic drainage. No @entity1317 or @entity281 was found. The follow-up time was from 8 to 36 months with the mean of 16.5 months. All @entity1 had neurofunctional recovery at different degree, except that 3 @entity1 in grade A. The height of @entity1347 restored from (42.25 +/- 11.87)% preoperatively to (94.38 +/- 3.08)% postoperatively, and (92.87 +/- 3.32)% at final follow-up (P<0.05); volume of spinal canal (the actual volume of spinal canal/normal volume of spine canal) increased from (45.63 +/- 6.88)% preoperatively to (95.26 +/- 3.31)% postoperatively, and (96.13 +/- 2.56)% at final follow-up (P<0.05). Cobb angle were corrected from (25.64 +/- 4.40) degrees preoperatively to (5.80 +/- 1.14) degrees postoperatively; Cobb angle lost from 0 degrees to 6 degrees at final follow-up with (8.10 +/- 2.65) degrees. All @entity1 obtained complete bony fusion without @entity1516 formation at final follow-up. CONCLUSION: Subtotal vertebrectomy decompression and strut grafting through @entity601 is an effective and safe method in treating thoracolumbar burst @entity174 , which can restored height of intervertebral body, volume of spinal canal and physiological flexion of spinal column, and retain spinal permanent stability.

[Treatment of thoracolumbar burst XXXX with subtotal vertebrectomy, decompression and strut grafting through posterolateral approach].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity7279 :: ('923', 'Gene') :: ['T12'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['anterior border vetebral body'] @entity3138 :: ('914', 'Gene') :: ['T11'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity601 :: ('MESH:D009436', 'Disease') :: ['posterolateral approach via posterior midline incision'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['iatrogenic vascular injury'] @entity130 :: ('MESH:D014947', 'Disease') :: ['root injury'] @entity1516 :: ('MESH:D011542', 'Disease') :: ['pseudarthrosis']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
