Abstract

Today pedicle screw instrumentation system and short-segment fixation have been commonly used for treatment of thoracolumbar burst fractures because pedicle screw fixation allows 3-column fixation and facilitates simultaneous application of axial compression or distraction and rotational forces. Indirect decompres-sion and direct decompression are the two ways to deal with canal compromise when pedicle screw instrumentation is used. Indirect decompression is achieved to correct the canal compromise due to ligamentotaxis and hyperex-tension. The present study reviews the current research on indirect spinal canal decompression in adult patients with thoracolumbar burst fracture. Key words: Thoracic vertebrae; Lumber vertebrae; Fractures, bone; Adult; Decompression

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