Smith-Peterson osteotomy and lordotic posterior column compressive screw fixation proceed by postural pillow reduction improved realignment for unstable lumbar burst fracture

Farid Yudoyono,Deasy Herminawaty,Hasan Baraqbah

doi:10.36444/nsmc.v3i2.106

Abstract

Lumbar burst fractures (LBF) is a common trauma case of the spine, recently still a difficult problem to solve. Experts have published the approaches and techniques, but there is still a high incidence of morbidity and mortality, unsatisfactory clinical and radiological results especially in developing countries. The minimal tissue destruction approach with rigid screw-rod construction allowed to lowering surgical costs and earlier patient recovery with successfully clinical and radiological results in the short term follow up.

Highlights

Lumbar burst fracture (LBF) or thoracolumbar burst fracture is a frequently unsolved problem
Smith-Peterson osteotomy and lordotic posterior column compressive screw fixation proceed by postural pillow reduction improved realignment for unstable lumbar burst fracture
We treated our patients with Smith-Peterson osteotomy and posterior column compressive screw fixation proceed by postural pillow reduction and short segment fixation

Summary

Introduction

Lumbar burst fracture (LBF) or thoracolumbar burst fracture is a frequently unsolved problem. LBF often result in spinal trauma in the form of kyphosis and even spinal cord injury. This fracture often occurs at a young age and can disrupt daily activities.[1,2,3,4] A good posture is a vital indicator of bone and muscle health. Some previous studies use pillows of a specific size and thickness to improve posture and to reduce pain.[5,6,7,8]. Previous studies feature several surgical techniques, including the Smith-Peterson osteotomy (SPO) technique, which is often used in cases of adult idiopathic scoliosis, despite the controversy about its usefulness and effectiveness for clinical patients.[9,10,11] We treated our patients with Smith-Peterson osteotomy and posterior column compressive screw fixation proceed by postural pillow reduction and short segment fixation. Interval neurological assessment was done.[1]

Procedures

Discussion

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Conclusion