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Journal of the Korean Society of Traumatology 2002;15(1):58-65.
Clinical Analysis of Anterior Reconstruction with Kaneda SR in Treatment of Thoracolumbar Burst Fracture Through the Extrapleural Retroperitoneal Approach
Byung Ook Jung, M.D., Jong In Lee, M.D., Sang Kyu Kim, M.D., Yong Jun Jo, M.D. Seung Koan Hong, M.D., Choon Keun Park, M.D.*, Jang Hoi Hwang, M.D., Myung Soo Ahn, M.D.
Department of Neurological Surgery, Hallym University Hospital, College of Medicine, Hallym University, Chunchon, Korea, Department of Neurological Surgery, St Vincent Hospital, College of Medicine,
The Catholic University of Korea, Suwon, Korea*
흉요추 이행부위의 파열골절 치료에 있어 늑막 외 후 복막 강 경로를 경유한 가네다 S R기기를 이용한 전방 교정의 임상적 고찰
한림대학교 의과대학 춘천성심병원 신경외과학교실, 가돌릭의과대학 빈센트병원 신경외과학교실*
Study Design : At, retrospective clinical study was performed for twenty-nine (29) with thoracolumbar burst fractures who underwent anterior decompression and reconstruction using Kaneda SR through the extrapleural retroperitoneal ap-proach. Objectives : This study was performed to determine the effectiveness and the safety of anterior decompression and reconstruction using Kaneda SR in patients with thoracolumbar burst fractures. Background of Data : The treatment of thoracolumbar burst fractures using Kaneda SR have been reported to have various results and complications. Additional data are needed to support the outcome. This report includes the result of our initial experience using Kaneda SR in the treatment of the thoracolumbar burst fractures. Materials and Methods : Twenty-nine consecutive patients with thoracolumbar burst fractures extrapleural retroperitoneal approach were included in this study. The surgery was done withwho underwent anterior decompression and reconstruction using Kaneda SR through the single-stage anterior decompression, mesh cage with autologous bone insertion, and Kaneda SR spinal instrumentation through the extrapleural retroperitoneal approach. The average follow-up period was 9 months (range: 4 months to 27 months). Results : The mean age of the patients was 31.6 years old. The fractures were in the thoracolumbar junction (between T11 and L2) in 23 out of 29 fracture levels. Twenty-four cases were associated with neurologic deficit from cord and/or cauda equina injury. In the majority of the patients with neurologic deficit (20 out of 24 patients), the granding an the Franhel scale grade was improved by least are grade, the Average canal compromise was 57.0% preoperatively, and improved to 2.63% postoperatively. the average preoperative kyphotic angle was 19.55 degree, and it was improved to 7.0 degree postoperatively. This correction was lost approximately 2.44 degree in the follow up period. There were no screw fractures or pseudoarthrosis. Complications included a deep wound infection requiring wound revision, a superficial wound infection, and a significant amount of hemothorax requiring postoperative transfusion. Conclusion : The authors suggest that anterior decompression and reconstruction using Kaneda SR through the extrapleural retroperitoneal approach is an effective and safe method in the treatment of thoracolumbar burst fractures. A long-term follow up study is necessary.
Key Words: Thoracolumbar; Burst fracture; Kaneda SR; Anterior decompression; Extrapleural
retroperitoneal approach


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