Thoracolumbar spine fracture surgery techniques

• Kyphoplasty as a Treatment Option for Traumatic Burst Fractures: A Case Series Evaluating Patient Outcomes and Functional Benefits
• Percutaneous Reduction and Fixation for Traumatic Thoracolumbar Vertebral Fracture Using a Monoaxial Screw System
• Does Anterior Lumbar Interbody Fusion Reduce Mechanical Complication and Pseudarthrosis Rate at the Lumbosacral Junction in Adult Spinal Deformity Surgery in Comparison to Posterior Lumbar Interbody Fusion?
• Finite element analysis of percutaneous uniplanar screw fixation in the treatment of thoracolumbar fractures
• Lumbar Disc Degeneration and Vertebral Fracture at the Thoracolumbar Junction Are Risk Factors for Chronic Low Back Pain With Disability: Seven Years' Follow-Up of the Wakayama Spine Study
• AO Spine Clinical Practice Recommendations: Reducing the Surgical Footprint of Surgery for Spinal Metastases
• Efficacy and safety of posterior short-segment versus long-segment pedicle screws fixation for thoracolumbar burst fractures: A systematic review and meta-analysis
• Treatment of thoracolumbar fractures with severe collapse of the anterior and middle columns via balloon-assisted endplate reduction, transpedicular bone grafting and pedicle screw fixation

Posterior instrumentation is the most common procedure; purely anterior stabilization is rarely used. see Lumbar spinal fusion.

Vertebral fractures in the thoracic spine and lumbar spine are usually stabilized by posterior short- or long-segment transpedicular fixation.

The length of the instrumentation/spondylodesis depends on bone quality, age of the patient, and fracture. The decision as to whether anterior operative treatment should be performed depends on fracture morphology, the success of reduction, and the resulting stability. The open surgical procedure is increasingly being replaced by minimally invasive procedures in posterior and anterior techniques but can be an advantage in complex injuries (B and C injuries according to AO). Hybrid procedures are also possible. This also applies to the treatment of osteoporotic fractures, since a clear assignment between traumatic and osteoporotic causes is not always easy and possible. The article of Dreimann et al. describes the principles, the possible indications, and limitations of minimally invasive posterior and anterior stabilization ¹⁾.

see Vertebral compression fracture treatment.