Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report

Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column reconstruction include anterior, lateral, and posterior approaches. In cases involving an a...

Full description

Saved in:
Bibliographic Details
Main Authors: Woo Seok Kim, Tae Seok Jeong, Woo Kyung Kim
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-09-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2022-0075.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841527026095226880
author Woo Seok Kim
Tae Seok Jeong
Woo Kyung Kim
author_facet Woo Seok Kim
Tae Seok Jeong
Woo Kyung Kim
author_sort Woo Seok Kim
collection DOAJ
description Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column reconstruction include anterior, lateral, and posterior approaches. In cases involving an anterior or lateral approach, collaboration with general or thoracic surgeons may be necessary because the adjacent anatomical structures are unfamiliar to spinal surgeons. Risks include vascular or lumbar plexus injuries and cage displacement, and in most cases, additional posterior fusion surgery is required. However, the posterior approach is the most common and anatomically familiar approach for surgeons performing spinal surgery. We present a case in which three-column reconstruction was performed using only the posterior approach to treat a patient with a severe lumbar burst fracture.
format Article
id doaj-art-68f4eb166dc84d57b0cbad7e20df21cc
institution Kabale University
issn 2799-4317
2287-1683
language English
publishDate 2023-09-01
publisher Korean Society of Traumatology
record_format Article
series Journal of Trauma and Injury
spelling doaj-art-68f4eb166dc84d57b0cbad7e20df21cc2025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136329029410.20408/jti.2022.00751250Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case reportWoo Seok Kim0Tae Seok Jeong1Woo Kyung Kim2 Department of Traumatology, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Incheon, KoreaGenerally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column reconstruction include anterior, lateral, and posterior approaches. In cases involving an anterior or lateral approach, collaboration with general or thoracic surgeons may be necessary because the adjacent anatomical structures are unfamiliar to spinal surgeons. Risks include vascular or lumbar plexus injuries and cage displacement, and in most cases, additional posterior fusion surgery is required. However, the posterior approach is the most common and anatomically familiar approach for surgeons performing spinal surgery. We present a case in which three-column reconstruction was performed using only the posterior approach to treat a patient with a severe lumbar burst fracture.http://jtraumainj.org/upload/pdf/jti-2022-0075.pdflumbar vertebraespinal fracturesspinal injuriesspinal fusioncase reports
spellingShingle Woo Seok Kim
Tae Seok Jeong
Woo Kyung Kim
Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report
Journal of Trauma and Injury
lumbar vertebrae
spinal fractures
spinal injuries
spinal fusion
case reports
title Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report
title_full Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report
title_fullStr Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report
title_full_unstemmed Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report
title_short Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report
title_sort three column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in korea a case report
topic lumbar vertebrae
spinal fractures
spinal injuries
spinal fusion
case reports
url http://jtraumainj.org/upload/pdf/jti-2022-0075.pdf
work_keys_str_mv AT wooseokkim threecolumnreconstructionthroughtheposteriorapproachaloneforthetreatmentofaseverelumbarburstfractureinkoreaacasereport
AT taeseokjeong threecolumnreconstructionthroughtheposteriorapproachaloneforthetreatmentofaseverelumbarburstfractureinkoreaacasereport
AT wookyungkim threecolumnreconstructionthroughtheposteriorapproachaloneforthetreatmentofaseverelumbarburstfractureinkoreaacasereport