Abstract
Fifty patients with thoracolumbar fractures were operated on because of neural compression, instability, or risk of delayed neural injury. The reduction obtained from placement of Harrington rods relieved neural compression in most dislocations and in some burst and wedge fractures. Anterior decompression was reserved for cases in which intraoperative myelography (or direct inspection prior to 1979) demonstrated persistent compression after reduction with Harrington rods. The neurological recovery obtained with this surgical treatment is described and was found to be superior to that reported with postural treatment in which no active attempt is made to define and relieve neural compression.
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