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首页> 外文期刊>Der Unfallchirurg >Reconstruction after spinal fractures in the thoracolumbar region
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Reconstruction after spinal fractures in the thoracolumbar region

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abstract_textpThe morbidity of anterior approaches has significantly influenced the development of therapeutic concepts for the treatment of thoracolumbar spine fractures. Minimalinvasive techniques such as mini-open and endoscopic have enlarged the numbers of anterior reconstruction after spinal fractures in the thoracolumbar region. These minimalinvasive approaches have been facilitated by the development of special implants adapted to the new technique and to the local anatomical requirements./ppTwo multi center studies in Germany (MCSI and II) showed the trend towards minimal invasive procederes and anterior approaches in the german speaking spine centers. Since the first report on thoracoscopic anterior procedures in Germany in 1997 a growing number of spine centers established this method. There is still no evidence based high level literature to substantiate a significant benefit for the patients by anatomical reduction and reconstruction of the anterior spinal column. However, there are some reports on better short outcomes in radiological parameters as well as better clinical results in 5 to 8 year follow-ups./ppThe minimal invasive anterior approach seems to be advantageous for the patients by reducing significantly additive operation morbidity. It has become more important over the last two decades for anterior reconstruction after trauma and posttraumatic malalignment of the thoracolumbar spine./p/abstract_text

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