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...
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Korean Society of Traumatology
2023-09-01
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Series: | Journal of Trauma and Injury |
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Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0075.pdf |
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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 |
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