Abstract

We think that injured spine with neurological involvement is unstable in acute phase. From June in 1979 to June in 1982, we treated 75 patients with injured spine by several operative methods within 1 month after trauma. We compared their operative findings with radiographic appearances. The results indicated that (1) Simultaneous anterior and posterior decompression and fusion was necessary in all cases of fracture-dislocations and some of flexion teardrop fractures. (2) Anterior decompression and fusion was indicated for cases of no significant radiographic appearance of injury because of their usual disc damage.

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