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[Anterior decompression and reconstruction in the treatment of thoraco-lumbar burst fractures].

OBJECTIVE
To describe the clinic results and advantages of anterior decompression and reconstruction in the treatment of thoraco-lumbar burst fractures.


METHODS
Sixty-seven cases with the thoraco-lumbar fractures accompanied with the compression of the spinal cord were treated by anterior decompression and internal fixation. The Frankel impair scale of preoperation and postoperation was observed.


RESULTS
The follow-up was 30.1 month in average. All postoperation spinal alignments were good. No secondary kyphnosis occurred; in 95.4% of the patients, the Frankel score rose more than one degree.


CONCLUSION
Anterior decompression is complete and anterior reconstruction is strong, and both are fit to spinal biomechanical characteristics.