OBJECTIVE: To evaluate the surgical management of rigid post-traumatic thoracolumbar @entity1513 (RPTK) by simultaneous posterior-anterior circumferential releasing, correction and anterior corpectomy with preserved posterior vertebral wall. METHODS: Twenty @entity1 with RPTK were treated between October 2004 and October 2010 by posterior releasing, anterior subtotal corpectomy with preserved posterior vertebral wall, correction, strut graft, and @entity1347 . There were 14 males and 6 females with an average age of 43.2 years (range, 23-63 years). The time between injury and operation was 4 months to 23 years (mean, 1.4 years). The affected locations were T11 in 1 case, T12 in 8 cases, L1 in 10 cases, and L2 in 1 case. The Cobb angle and the intervertebral height of the @entity174 body were measured before and after operations. The degrees of @entity1643 were assessed by Japanese Orthopaedic Association (JOA) scores. RESULTS: No incision @entity128 , or cerebral spinal fluid leakage occurred. Seventeen @entity1 were followed up 1-5 years with an average of 2.8 years. The JOA score at last follow-up (26.2 +/- 3.9) was significantly improved when compared with the pre-operative score (14.0 +/- 5.7) (t = 4.536, P = 0.001). One @entity1 had aggravation of @entity1513 at 3 months postoperatively, who was in stabilized condition after prolonging immobilized time. The Cobb angle was corrected from (43.2 +/- 11.5) degrees preoperatively to (9.8 +/- 5.7) degrees at last follow-up, showing significant difference (P < 0.01). There was significant difference in the intervertebral height of the @entity174 body between preoperation and last follow-up (P < 0.05). The intervertebral height of @entity174 was restored to 87.0% +/- 11.2% of adjacent disc height. CONCLUSION: Posterior-anterior circumferential releasing and anterior corpectomy with preserved posterior vertebral wall can achieve satisfactory clinical results, not only in @entity158 relieving, @entity1513 correction, vertebral height restoration, and spinal stability restoration, but also in the risk reduce of @entity548 and spinal cord disturbance.

[Management of rigid post-traumatic thoracolumbar XXXX by simultaneous posterior-anterior circumferential releasing and correction with preserved posterior vertebral wall].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['low back pain'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractured vertebra'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['short segmental fixation'] @entity1513 :: ('MESH:D007738', 'Disease') :: ['kyphosis'] @entity128 :: ('MESH:D020209', 'Disease') :: ['infection, nerve injury'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity1513 :: (MESH:D007738,Disease) :: ['kyphosis']
