OKOJ, Volume 1, No. 9

Thoracolumbar Burst Fractures

This article discusses the pathophysiology and clinical presentation of thoracolumbar burst fraction, as well as management considerations, including nonsurgical treatment with and without neurologic deficit and surgical treatment with and without neurologic deficit, and the selection of an appropriate surgical approach. Two surgical techniques are presented in detail, including posterior distraction/ligamentotaxis reduction and anterior decompression anterbody fusion. Video is available.

    • Keywords:
    • vertebral fracture

    • incidence

    • mechanism of injury

    • etiology

    • classification

    • Denis classification

    • McAfee classification

    • Ferguson-Allen classification

    • AO classification

    • diagnosis

    • patient history

    • physical examination

    • imaging

    • radiography

    • CT

    • MRI

    • myelography

    • differential diagnosis

    • surgical treatment

    • surgical techniques

    • surgical approaches

    • anterior approach

    • posterior approach

    • combined approach

    • posterior distraction

    • ligamentotaxis reduction

    • anterior decompression

    • spinal interbody fusion

    • indications

    • contraindications

    • complications

    • outcomes

    • rehabilitation

    • Subspecialty:
    • Spine

Anterior Cervical Corpectomy and Fusion

Anterior cervical corpectomy and fusion (ACCF) techniques are occasionally required to decompress the spinal canal and stabilize the spinal column in patients with cervical stenosis, kyphosis, tumors, infections, or trauma. This article reviews the indications and contraindications for anterior cervical corpectomy and fusion, and reviews the technique in detail. Video is available.

    • Keywords:
    • cervical stenosis

    • spondylotic myelopathy

    • radiculopathy

    • Subspecialty:
    • Spine