Journal of Korean Neurosurgical Society

  • 제49권2호
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  • Pages.128-130
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  • 2011
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Screw Fixation without Fusion for Low Lumbar Burst Fracture : A Severe Canal Compromise But Neurologically Intact Case

  • Jang, Kun-Soo (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Ju, Chang-Il (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Lee, Sung-Myung (Department of Neurosurgery, College of Medicine, Chosun University)
  • 투고 : 2010.01.07
  • 심사 : 2011.01.13
  • 발행 : 2011.02.28
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초록

The low lumbar spine is deeply located in flexible segments, and has a physiologic lordosis. Therefore, burst fractures of the low lumbar spine are uncommon injuries. The treatment for such injuries may either be conservative or surgical management according to canal compromise and the neurological status. However, there are no general guidelines or consensus for the treatment of low lumbar burst fractures especially in neurologically intact cases with severe canal compromise. We report a patient with a burst fracture of the fourth lumbar vertebra, who was treated surgically but without fusion because of the neurologically intact status in spite of severe canal compromise of more than 85%. It was possible to preserve motion segments by removal of screws at one year later. We also discuss why bone fusion was not necessary with review of the relevant literature.

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참고문헌

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피인용 문헌

  1. Short Segment Screw Fixation without Fusion for Unstable Thoracolumbar and Lumbar Burst Fracture : A Prospective Study on Selective Consecutive Patients vol.51, pp.4, 2011, https://doi.org/10.3340/jkns.2012.51.4.203
  2. Short Segment Screw Fixation without Fusion for Low Lumbar Burst Fracture: Severe Canal Compromise but Neurologically Intact Cases vol.9, pp.2, 2011, https://doi.org/10.13004/kjnt.2013.9.2.101
  3. Implant Removal after Percutaneous Short Segment Fixation for Thoracolumbar Burst Fracture : Does It Preserve Motion? vol.55, pp.2, 2011, https://doi.org/10.3340/jkns.2014.55.2.73