{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T13:58:05Z","timestamp":1773323885305,"version":"3.50.1"},"reference-count":32,"publisher":"Scientific Scholar","issue":"01","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":3190,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Introduction: Patients with spinal injuries have been treated in the past by laminectomy in an attempt to decompress the spinal cord. The results have shown insignificant improvement or even a worsening of neurologic function and decreased stability without effectively removing the anterior bone and disc fragments compressing the spinal cord. The primary indication for anterior decompression and grafting is narrowing of the spinal canal with neurologic deficits that cannot be resolved by any other approach. One must think of subsequent surgical intervention for increased stability and compressive posterior fusion with short-armed internal fi xators. Aim: To analyze the results and efficacy of spinal shortening combined with interbody fusion technique for the management of dorsal and lumbar unstable injuries. Materials and Methods: Twenty-three patients with traumatic fractures and or fracture-dislocation of dorsolumbar spine with neurologic deficit are presented. All had radiologic evidence of spinal cord or cauda equina compression, with either paraplegia or paraparesis. Patients underwent recapping laminoplasty in the thoracic or lumbar spine for decompression of spinal cord. The T-saw was used for division of the posterior elements. After decompression of the cord and removal of the extruded bone fragments and disc material, the excised laminae were replaced exactly in situ to their original anatomic position. Then application of a compression force via monosegmental transpedicular fixation was done, allowing vertebral end-plate compression and interbody fusion. Results: Lateral Cobb angle (T10\u2013L2) was reduced from 26 to 4 degrees after surgery. The shortened vertebral body united and no or minimal loss of correction was seen. The preoperative vertebral kyphosis averaged +17 degrees and was corrected to +7 degrees at follow-up with the sagittal index improving from 0.59 to 0.86. The segmental local kyphosis was reduced from +15 degrees to \u22123 degrees. Radiography demonstrated anatomically correct reconstruction in all patients, as well as solid fusion. Conclusion: This technique permits circumferential decompression of the spinal cord through a posterior approach and posterior interbody fusion.<\/jats:p>","DOI":"10.4103\/0976-3147.80082","type":"journal-article","created":{"date-parts":[[2011,5,6]],"date-time":"2011-05-06T13:14:32Z","timestamp":1304687672000},"page":"017-022","source":"Crossref","is-referenced-by-count":2,"title":["Spinal shortening and monosegmental posterior spondylodesis in the management of dorsal and lumbar unstable injuries"],"prefix":"10.25259","volume":"02","author":[{"given":"Tarek A","family":"Aly","sequence":"additional","affiliation":[{"name":"Assistant professor of orthopedic surgery, Tanta university school of medicine, Tanta, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.80082-1","first-page":"1","volume-title":"An evidence-based review of decompressive surgery in acute spinal cord injury: Rational, indications, and timing based on experimental and clinical studies","author":"Fehlings","year":"1) 1","journal-title":"J Neurosurgery (Spine"},{"key":"key-10.4103\/0976-3147.80082-2","first-page":"349","volume-title":"Comparison of two types of surgery for thoraco- lumbar burst fractures: Combined anterior and posterior stabilization vs.posterior instrumentation only","author":"Been","year":"1999","journal-title":"Acta Neurochir (Wien)"},{"key":"key-10.4103\/0976-3147.80082-3","first-page":"161","volume-title":"Minimally invasive retroperitoneal approach for lumbar corpectomy and anterior reconstruction.Technical note","author":"Muhlbauer","year":"2000","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.80082-4","first-page":"2832","volume-title":"Hoshino Y, Kikkawa I, and Nakamura H.Posterior spinal shortening for paraplegia after vertebral collapse caused by osteoporosis","author":"Saita","year":"2000","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-5","first-page":"48","volume-title":"Selection criteria and outcome of operative approaches for thoracolumbar burst fractures with and without neurological deficit","author":"Schnee","year":"1997","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.80082-6","first-page":"242","volume-title":"Anterolateral decompression for traumatic spinal cord compression","author":"Shah","year":"1994","journal-title":"J Pak Med Assoc"},{"key":"key-10.4103\/0976-3147.80082-7","first-page":"214","volume-title":"Thoracolumbar spine injuries: Classification","author":"Denis","year":"1988","journal-title":"Curr Orthop"},{"key":"key-10.4103\/0976-3147.80082-8","unstructured":"Cobb J. Outline for study of scoliosis. Instructional course lectures. Ann Arbor, Edwards. The American Academy Of Orthopedic Surgery 1984;5:251-275."},{"key":"key-10.4103\/0976-3147.80082-9","first-page":"1316","volume-title":"Burst fractures in the thoracic and lumbar spine.A clinico-neurologic analysis","author":"Willen","year":"1989","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-10","first-page":"1915","volume-title":"The thread wire saw: A new device for cutting bone","author":"Tomita","year":"1996","journal-title":"J Bone Joint Surg (Am)"},{"key":"key-10.4103\/0976-3147.80082-11","first-page":"558","volume-title":"Canal clearance in burst fractures using the AO internal fixator","author":"Gertzbein","year":"1992","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-12","first-page":"544","volume-title":"Stabilization of the lower thoracic and Lumbar spine with the internal skeletal fixation system: Indications, techniques, and first results of treatment","author":"Aebi","year":"1987","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-13","first-page":"1012","volume-title":"Vertebral burst fractures: an experimental, morphologic, and radiographic study.Spine (Phila Pa 1976)","author":"Fredrickson","year":"1992","journal-title":""},{"key":"key-10.4103\/0976-3147.80082-14","first-page":"318","volume-title":"Spinal canal clearance in burst fractures using the AO Internal Fixator","author":"Crowe","year":"1991","journal-title":"Orthop Trans"},{"key":"key-10.4103\/0976-3147.80082-15","first-page":"39","volume-title":"Indirect spinal canal decompression in patients with thoracolumbar burst fractures treated by posterior distraction rods","author":"Crutcher","year":"1991","journal-title":"J Spinal Disord"},{"key":"key-10.4103\/0976-3147.80082-16","first-page":"121","volume-title":"Early rod-sleeve stabilization of the injured thoracic and lumbar spine","author":"Edwards","year":"1986","journal-title":"Orthop Clin North Am"},{"key":"key-10.4103\/0976-3147.80082-17","first-page":"143","volume-title":"Harrington instrumentation and spine fusion for unstable fractures-dislocations of the thoracic and lumbar spine","author":"Flesch","year":"1977","journal-title":"J Bone Joint Surg"},{"key":"key-10.4103\/0976-3147.80082-18","first-page":"162","volume-title":"Bilateral Transpedicular decompression and Harrington rod stabilization in the management of severe thoracolumbar burst fractures","author":"Hardaker","year":"1992","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-19","first-page":"201","volume-title":"Surgical management of thoracolumbar spine fractures with incomplete neurologic deficits","author":"Bradford","year":"1987","journal-title":"Clin Orthop"},{"key":"key-10.4103\/0976-3147.80082-20","first-page":"595","volume-title":"Thoracolumbar spine fractures with neurologic deficit","author":"Chapman","year":"1994","journal-title":"Orthop Clin North Am"},{"key":"key-10.4103\/0976-3147.80082-21","first-page":"267","volume-title":"Aortic laceration after anterior spinal fusion","author":"Woolsey","year":"1986","journal-title":"Surg Neurol"},{"key":"key-10.4103\/0976-3147.80082-22","first-page":"629","volume-title":"Does \u2032canal clearance\" affect neurological outcome after thoracolumbar burst fractures?","author":"Boerger","year":"2000","journal-title":"J Bone Joint Surg (Br)"},{"key":"key-10.4103\/0976-3147.80082-23","first-page":"667","volume-title":"Evaluation of surgical treatment for burst fractures","author":"Esses","year":"1990","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-24","first-page":"14","volume-title":"Thoracolumbar fracture-dislocation results of surgical treatment","author":"Razak","year":"2000","journal-title":"Med J Malaysia"},{"key":"key-10.4103\/0976-3147.80082-25","first-page":"293","volume-title":"Successful Treatment of Thoracolumbar Fractures With Short-segment Pedicle Instrumentation","author":"Gelb","year":"2010","journal-title":"J Spinal Disord Tech"},{"key":"key-10.4103\/0976-3147.80082-26","first-page":"1363","volume-title":"Recapping T-saw laminoplasty for spinal cord tumors","author":"Kawahara","year":"1999","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-27","first-page":"445","volume-title":"Recapping laminoplasty for the treatment of severe burst fractures of thoracolumbar vertebra complicated with spinal stenosis","author":"Li","year":"2008","journal-title":"Zhongguo Gu Shang"},{"key":"key-10.4103\/0976-3147.80082-28","first-page":"788","volume-title":"Burst fractures with neurologic deficits of the thoraco-lumbar spine: Results of anterior decompression and stabilization with anterior instrumentation","author":"Kaneda","year":"1984","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-29","first-page":"S125","volume-title":"Application of posterior plating and modification in thoracolumbar spine injuries","author":"Daniaux","year":"1991","journal-title":"Spine"},{"key":"key-10.4103\/0976-3147.80082-30","first-page":"284","volume-title":"Treatment of thoracolumbar burst fractures without neurological deficit by indirect reduction and posterior instrumentation: Bisegmental stabilization with monosegmental fusion","author":"M\u00fcller","year":"1999","journal-title":"Eur Spine J"},{"key":"key-10.4103\/0976-3147.80082-31","first-page":"2","volume-title":"The significance of the vertebral posterior elements in the mechanics of the thoracic spine","author":"White","year":"1971","journal-title":"Clin Orthop"},{"key":"key-10.4103\/0976-3147.80082-32","first-page":"324","volume-title":"Total enbloc spondylectomy: A new surgical technique for primary malignant vertebral tumors","author":"Tomita","year":"1997","journal-title":"Spine"}],"container-title":["Journal of Neurosciences in Rural 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