Document Detail


Operative stabilization of the posttraumatic thoracic and lumbar spine: a comparative analysis of the Harrington distraction rod and the modified Weiss spring.
MedLine Citation:
PMID:  3762885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the efficacy of operative stabilization techniques, a retrospective study of Harrington distraction rod (HDR) and modified Weiss spring instrumentation was performed in 90 patients. An operation was performed for one or both of two indications: persistent spine instability or the presence of a neurological deficit in patients with incomplete neurological injuries and myelographic evidence of spinal cord or cauda equina compression. The lateral extracavitary operative approach to the spine for decompression and anterior interbody fusion was performed with an accompanying HDR (47 patients) or modified Weiss spring placement (43 patients). Eight HDRs failed, resulting in gross instability (17 per cent) that either resulted in further neurological injury (1 patient), further surgery (2 patients), or increased morbidity secondary to prolonged bed rest (5 patients). One Weiss spring failed, requiring further surgery (2.3 per cent). Nonsurgical complications were similar in both groups and appeared to be unrelated to the type of instrumentation utilized. The modified Weiss spring instrumentation technique, which offers a dynamic compression fixation of the spine, was clearly superior to the HDR technique, which offers a rigid distraction fixation. The biomechanics of distraction versus compression and rigid versus nonrigid spine stabilization are discussed.
Authors:
E C Benzel; S J Larson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  19     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1986 Sep 
Date Detail:
Created Date:  1986-11-18     Completed Date:  1986-11-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  378-85     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Bone Wires / adverse effects,  standards*
Humans
Neurosurgery / instrumentation*,  methods
Orthopedic Fixation Devices / standards*
Spinal Injuries / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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