Abstract
Objective To evaluate the clinical outcomes of anterior decompression combined with bone graft and internal fixation for the treatment of one level thoracolumbar vertebral fracture (TVF) plus spinal cord injury. Methods From May 2004 to November 2007, 63 cases of one level TVF were treated in our department with anterior decompression combined with bone graft and fixation (male: 51;female: 12). The neurological status was evaluated for all eases by the America Spinal Injury Association (ASIA) scoring system before and after surgery. All statistical analyses were accomplished by software package SPSS 13. 0. Results All cases were followed up for at least 1 year. By the final follow-up, all cases had got rigid bony fusion with nearly normal spinal curvature, and no fixation loosening or secondary stenosis had been found by CT scans and MKI images. Compared with preoperational ASIA scores, neurological functions were recovered significantly at the final follow-up in most cases (P < 0. 05). Conclusion One level TVF can be treated satisfactorily with anterior decompression combined with titanium-cage-assisted bone graft and fixation to reconstruct thoracolumbar spinal curvature and stability, and provide entire and direct decompression of the spinal cord. Key words: Spinal fracture; Spinal cord injury; Decompression; Fracture fixation; internal
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