Skip to main content
Log in

Percutaneous interbody osteosynthesis in the treatment of thoracolumbar traumatic or tumoural lesions

A review of 51 cases

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The authors describe a technique of percutaneous interbody osteosynthesis applicable to the dorsal and lumbar spine. 51 patients were so treated for different aetiologies:traumatic conditions (35 cases) andtumoural lesions (16 cases). The material used consisted of special instruments that are positioned in double obliquity by a percutaneous posterolateral approach. A posterior approach limited to the pathological focus was used jointly whenever a graft or a decompression was necessary (19 cases). Several types of anaesthesia were used (local, local-regional, general, neuroleptanalgesia). The patients benefited by the advantages that usually accompany percutaneous techniques. The advantages and limitations of the method are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Akbarnia BA, Fogarty JP, Tayob AA (1984) Contoured Harrington instrumentation in the treatment of unstable spinal fractures: the effect of supplementary sublaminar wires. Clin Orthop 189: 186–194

    PubMed  Google Scholar 

  2. Argenson C, Lovet J, de Peretti F, Dalzotto H, Frhel M, Roche JL (1988) Résultats cliniques de 150 ostéosynthèses vertébrales postérieures pour fracture du rachis dorso-lombaire. In: Privat JM, Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 134–136

    Google Scholar 

  3. Armstrong GWD, Johnston DH (1974) Stabilization of spinal injuries using Harrington instrumentation. J Bone Joint Surg 56B: 590

    Google Scholar 

  4. Armstrong GWD, Connock SHG (1975) A transverse loading system applied to a modified Harrington instrumentation. Clin Orthop 108: 70–75

    PubMed  Google Scholar 

  5. Arnold W (1985) Operative Frühbehandlung der traumatischen Querschnittslähmung mit dem fixateur externe und einer diagonalen Wirbelkörperplastik. Unfallchirurg 88: 293–298

    PubMed  Google Scholar 

  6. Barral FG, Brunon J (1988) Le scanner en 3 dimensions des fractures du rachis, In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 163–165

    Google Scholar 

  7. Bedbrook GM (1975) Treatment of thoracolumbar dislocations and fractures with paraplegia. Clin Orthop 112: 27–43

    PubMed  Google Scholar 

  8. Bedbrok GM (1979) Spinal injuries with tetraplegia and paraplegia. J Bone Joint Surg (Br) 61B: 267–284

    Google Scholar 

  9. Benzel EC, Larson SJ (1986) Functional recovery after decompressive fractures. Neurosurgery 19: 772–778

    PubMed  Google Scholar 

  10. Benzel EC, Larson SJ (1986) Operative stabilization of the posttraumatic thoracic and lumbar spine: a comparative analysis of the Harrington distraction rod and the modified Weiss springs. Neurosurgery 19, 3: 378–385

    PubMed  Google Scholar 

  11. Bohlman HH, Freehafer A (1975) Late decompression of spinal cord injuries. J Bone Joint Surg (Am) 57A: 1025

    Google Scholar 

  12. Bradford DS (1978) Role of internal fixation and spine fusion in thoracic and lumbar spine fractures. In: Chou SN, Seljeskog EL (eds) Spinal deformities and neurological dysfunction. Raven press, New York, pp 155–173

    Google Scholar 

  13. Bradford DD, Behrooz P, Winter R (1977) Surgical stabilization of fracture and fracture dislocation of the thoraco-lumbar spine. Spine 2: 185–196

    Google Scholar 

  14. Bradford DS, Thomson RC (1976) Fractures and dislocation of the spine: Indications for surgical intervention. Minn Med 59: 711–720

    PubMed  Google Scholar 

  15. Brunon J, Goutell A, Felman D, Bret P, Ravon R (1973) Résultats et indications de l'ostéosynthèse postérieure par plaques métalliques dans les fractures du rachis. A propos de 40 observations. Neurochirurgie 19: 199–213

    Google Scholar 

  16. Burke DC, Murray DD (1976) The management of thoracic and thoracolumbar injuries of the spine with neurological involvement. J Bone Joint Surg (Br) 58B: 72–78

    Google Scholar 

  17. Chabannes J, Floucaud D, Colnet G, Pacquet F (1982) Notre expérience des greffes vertébrales dans la chirurgie des fractures graves récentes du rachis dorso-lombaire. Neurochirurgie 28: 235–244

    PubMed  Google Scholar 

  18. Chahal AS (1975) Results of continuous lumbar traction in acute dorsolumbar spinal injuries with paraplegia. Paraplegia 13: 1–11

    PubMed  Google Scholar 

  19. Chaput JP (1979) Fractures graves due rachis dorso-lombaire avec troubles neurologiques traitées par plaques vissées de Roy-Camille. 20 cas. Thèse Médecine, Toulouse

  20. Chengqi W (1979) Anterolateral decompression for spinal fractures complicated by paraplegia. Chin Med J (Engl) 92: 149–154

    Google Scholar 

  21. Chou SM (1978) Treatment of thoracic spinal deformities with neurological deficit. In: Chou SN, Seljeskog EL (eds) Spinal deformities and neurological dysfunction. Ravenpress, New York, pp 131–137

    Google Scholar 

  22. Clark WK (1981) Spinal cord decompression in spinal cord injury. Clin Orthop 154: 9–13

    PubMed  Google Scholar 

  23. Colley DP, Dunsker SB (1978) Traumatic narrowing of the dorsolumbar spinal canal demonstrated by CT. Radiology 129: 95–98

    PubMed  Google Scholar 

  24. Commun C (1986) Étude critique d'une série de 437 traumatismes vertébro-médullaires dorsaux, dorso-lombaires et lombaires. Proposition d'une classification anatomo-radiologique des fractures. Résultats thérapeutiques. Thèse Médicine, Clermont-Ferrand, 485 pp

  25. Convery FR, Minteer MA, Smithy RW, Emerson SM (1978) Fracture-dislocation of the dorso-lumbar spine: acute operative stabilization by Harrington instrumentation. Spine 3, 2: 160–166

    PubMed  Google Scholar 

  26. Cotlar JM, Vernance JV, Michalski JA (1986) The use of Harrington rods in thoracolumbar fractures. Orthop Clin North Am 17: 87–103

    PubMed  Google Scholar 

  27. Cotrel Y (1968) Techniques nouvelles dans le traitement de la scoliose idiopathique. Int Orthop 1968: 1: 247

    Google Scholar 

  28. Cotrel Y, Dubousset J, Guillaumat M (1988) Instrumentation C-D (Cotrel-Dubousset) pour la chirurgie du rachis par abord postérieur. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 26–30

    Google Scholar 

  29. Cotrel Y, Dubousset J (1984) Nouvelle technique d'ostéosynthèse rachidienne segmentaire par voie postérieure. Rev Chir Orthop 70: 489–494

    PubMed  Google Scholar 

  30. Craig FS (1956) Vertebral body biopsy. J Bone Joint Surg 38A: 93–95

    Google Scholar 

  31. De Castro F (1925) Technique pour la coloration du système nerveux quand il est pourvu de ses étuis osseux. Quelques formules de fixation pour la méthode à l'argent réduit de Cajal, et leurs résultats dans les centres nerveux et les terminaisons nerveuses péripheriques Trav. Lab Rech Biol de l'Université de Madrid, 23: 427–446

    Google Scholar 

  32. Denis F, Ruiz H, Searls K (1984) Comparison between square-ended distraction rods and standard round ended distraction rods in the treatment of thoracolumbar spinal injuries: a statistical analysis. Clin Orthop 189: 162–167

    PubMed  Google Scholar 

  33. Deramond H, Darrasson R, Galibert P (1989) La vertébroplastic percutanée acrylique dans le traitement des hémangiomes vertébraux agressifs. Rachis 1, 2: 143–153

    Google Scholar 

  34. Dick W, Kluçer P, Magerl F, Wörsdörfer O, Zäch G (1985) A new device for internal fixation of thoracolumbar and lumbar spine fractures. “The Fixateur Interne”. Paraplegia 23: 225–232

    PubMed  Google Scholar 

  35. Dickson JH, Harrington PR, Erwin WD (1973) Harrington instrumentation in the fractured thoracic and lumbar spine. Texas Med 69: 91–98

    Google Scholar 

  36. Dickson JH, Harrington PR, Erwin WD (1978) Results of reduction and stabilization of everely fractured thoracic and lumbar spine. J Bone Joint Surg 60A: 799–805

    Google Scholar 

  37. Dolan EJ, Tator CH, Endrenyi L (1980) The value of decompression for acute experimental spinal cord compression injury. J Neurosurg 53: 749–755

    PubMed  Google Scholar 

  38. Durward QJ, Schweigel JF, Harrison P (1981) Management of fractures of thoracolumbar and lumbar spine. Neurosurgery 8: 555–561

    PubMed  Google Scholar 

  39. El Omeiri S, Christino G, Bedou G, Borne G (1988) Traitment chirurgical des lésions traumatiques graves du rachis. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 88–93

    Google Scholar 

  40. Erickson DL, Leider LL Jr, Brown WE (1977) One-stage decompression-stabilization of thoraco-lumbar fractures. Spine 2: 53–56

    Google Scholar 

  41. Faerber EN, Wolpert SM, Scott RM, Belkin SC, Carter BL (1979) Computed tomography of spinal fractures. J Comput Assist Tomogr 3: 657–661

    PubMed  Google Scholar 

  42. Ferguson RL, Tencer AF, Woodard P, Allen BL (1988) Biomechanical comparisons of spinal fracture models and stabilizing effects of posterior instrumentation. Spine 13 (5): 453–460

    PubMed  Google Scholar 

  43. Ferguson RL, Tencer AF, Woodard P, Allen BL (1988) Biochemical comparisons of spinal fracture models and stabilizing effects of posterior instrumentations. Spine 13 (5): 453–460

    PubMed  Google Scholar 

  44. Fischer LP, Gonnon GP, Carret JP, Dimnet J (1977) Les méthodes chirurgicales. Biomécanique des ostéosynthèses vertébrales postérieures au niveau dorso-lombaire. Rev Chir Orthop 63, 5: 463–466

    PubMed  Google Scholar 

  45. Flesh JR, Leider LL, Erickson DL,et al (1977) Harrington instrumentation and spine fusion for unstable fractures and fracture-dislocation of the thoracic and lumbar spine. J Bone Joint Surg (Am) 59A: 143–153

    Google Scholar 

  46. Fournier-Schmitt JA, Serti GO, Skondia V (1989) The use of biocompatible orthopaedic polymer in the treatment of loose total hip prostheses. J Int Med Res 17: 254–261

    PubMed  Google Scholar 

  47. Frankel HL, Hancock DO, Hyslop G, Melzak J, Michaelis LS, Ungar GH, Vernon JDS, Walsh JJ (1969) The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Paraplegia 7: 179–186

    PubMed  Google Scholar 

  48. Gage EL, Shim NK, Ransohoff J (1969) Anterior approach to acute and chronic thoraco-lumbar spinal cord compression. Proceeding of the 17th Veterans Administration Spinal Cord Injury Conference, Bronx, NY, pp 45–50

  49. Galibert P, Deramond H, Rosat P, le Gars D (1987) Note préliminaire sur le traitement des angiomes vertébraux par vertébroplastie acrylique percutanée. Neurochirurgie 33: 166–168

    PubMed  Google Scholar 

  50. Garfm SR, Mowery CA, Guerra J, Marshall LF (1985) Confirmation of the posterolateral technique to decompress and fuse thoracolumbar spine burst-fractures. Spine 10: 218–223

    PubMed  Google Scholar 

  51. Gertzbein SD, MacMichael D, Tile M (1982) Harrington instrumentation as a method of fixation in fractures of the spine. (A critical analysis of deficiencies). J Bone Joint Surg 64B: 526–534

    Google Scholar 

  52. Goutaillier D, Louis R (1977) Indications thérapeutíques dans les fractures instables du rachis. Rev Chir Orthop 63, 5: 475–481

    PubMed  Google Scholar 

  53. Goutaillier D, Glorion J (1988) La plaque vertébrale antérieure en U. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 29–30

    Google Scholar 

  54. Gros M (1846) La disposition des nerfs des os. Bull Soc Anat Paris 21: 369–372

    Google Scholar 

  55. Handelberg F, Bellemans MA, Opedecam P, Casteleyn PP (1969) The use of CT in the diagnosis of thoraco-lumbar injuries. J Bone Joint Surg (Br) 63B: 336–341

    Google Scholar 

  56. Hertzog E, Semat P, Savart P (1969) Traumatismes du rachis. EMC Paris, 10, 31.040 A 20, 1–6

    Google Scholar 

  57. Harrington PR (1967) Instrumentation in spine instability other than scoliosis. S Afr J Surg 5: 7–12

    PubMed  Google Scholar 

  58. Hasday CA, Pasoff TL, Perry J (1983) Gate abnormalities arising from iatrogenic loss of lumbar lordosis secondary to Harrington instrumentation in lumbar fractures. Spine 8: 501–509

    PubMed  Google Scholar 

  59. Herrmann HD (1979) Transarticular (transpedicular) metal plate fixation for stabilization of the lumbar and thoracic spine. Acta Neurochir (Wien) 48: 101–110

    Google Scholar 

  60. Hijikata S, Yamagishi M, Nakayama T, Oomori K (1975) Percutaneous discectomy: a new treatment method for lumbar disc herniation. J Toden Hosp 5: 5–13

    Google Scholar 

  61. Holdsworth FW (1970) Fractures, dislocations, and fractures-dislocations of the spine. J Bone Joint Surg (Am) 52A: 1534–1551

    Google Scholar 

  62. Holdsworth FW, Hardy A (1958) Early treatment of paraplegia from fractures of the thoracolumbar spine. J Bone Joint Surg (Br) 35B: 540–550

    Google Scholar 

  63. Jacobs RR, Asher MA, Snider RK (1980) Thoracolumbar spinal injuries. Spine 5: 463–477

    PubMed  Google Scholar 

  64. Jacobs RR, Schlaepfer F, Mathys Jr R, Nachemson A, Perren SM (1984) A locking hook spinal rod system for stabilization of fracture-dislocations and correction of deformities of the dorsolumbar spine. Clin Orthop 189: 168–177

    PubMed  Google Scholar 

  65. Jelsma RK, Kirsch PT, Rice JF, Jelsma LF (1982) The radiographic desription of thoracolumbar fractures. Surg Neurol 18: 230–236

    PubMed  Google Scholar 

  66. Jelsma RK, Kirsch PT, Jelsma LF, Ramsey WC, Rice JF (1982) Surgical treatment of thoracolumbar fractures. Surg Neurol 18, 3: 156–166

    PubMed  Google Scholar 

  67. Jomin M, Lesoin F, Bouasakao N, Lozes G, Cama A, Carini S (1985) Intérêt de l'abord du rachis dorso-lombaire par transverso-arthro-pédiculectomie bilatérale avec corporectomie. Neurochirurgie 31: 323–328

    PubMed  Google Scholar 

  68. Grosse A, Renard M (1973) Le traitement des traumatismes vertébro-médullaires. Intérêt de la fixation des fractures et fractures-luxations du rachis dorsolombaire à l'aide du matérial de Harrington “en compression”. Rev Chir Orthop 59: 477–489

    PubMed  Google Scholar 

  69. Kambin P, Gelman H (1983) Percutaneous lateral discectomy of the lumbar spine. A preliminary report. Clin Orthop 174: 127–132

    Google Scholar 

  70. Keene JS, Drummond DS, Narachania R (1982) The Wisconsin compression system. Spine 7: 83–85

    PubMed  Google Scholar 

  71. Kempf I, Briot B, Fernandez M, Grosse A, Renard M (1973) Le traitement des traumatismes vertébro-médullaires. Intérêt de la fixation des fractures et fractures-luxations du rachis dorso-lombaire à l'aide du matériel Harrington “en compression”. Rev Chir Orthop 59: 477–489

    PubMed  Google Scholar 

  72. Kerboul B, Lefevre C, le Saout J, Miroux D, Roblin L, Courtois B (1986) Stabilisation des fractures du rachis dorso-lombaire par matériel de Harrington. Étude de l'évulution des courbures rachidiennes. Neurochirurgie 32, 5: 391–387

    PubMed  Google Scholar 

  73. Kostuik J (1984) Anterior fixation for fracture of the thoracic and lumbar spine. Clin Orthop 189: 103–116

    PubMed  Google Scholar 

  74. Kummer B (1987) Biomechanics of the thoracic and lumbar spine. In: RP Vigouroux, Harris Ph (eds) Advances in Neurotraumatology. Thoracic and Lumbar Spine and Spinal Cord Injuries. Springer, Wien New York, pp 17–25

    Google Scholar 

  75. Lardennois ER (1976) Étude critique d'une série de 62 observations de fractures graves du rachis dorsal, dorso-lombaire (traitement neuroorthopédique). Thèse Médecine, Clermont-Ferrand

  76. Larson SJ, Holst RA, Hemmy DC, Sances A (1976) Lateral extracavitory approach to traumatic lesions of the thoracic and lumbar spine. J Neurosurg 45: 628–637

    PubMed  Google Scholar 

  77. Larson SF (1977) The lateral extrapleural and extraperitoneal approach to the lumbar and thoracic spine. Spine 2: 137–141

    Google Scholar 

  78. Lemaire P (1985) Bilan scanographiques des traumatismes du rachis. Apport à la classification. Thèse Médecine, Lille

  79. Lesoin F, Mathevon H, Villette L, Autricque A, Janssens A, Jomin M (1988) Intérêt du fixateur externe en pathologie rachidienne dorsolombaire. In: Privat JM (ed) Ostéosynthèses rachidiennes, Sauramps Médical, Montpellier, pp 63–64

    Google Scholar 

  80. Lesoin F, Bouasakao N, Cama A, Lozes G, Combelles G, Jomin M (1982) Post traumatic fixation of the thoracolumbar spine using Roy Camille plates. Surg Neurol 18: 167–173

    PubMed  Google Scholar 

  81. Lesoin F, Kabbaj K, Debout J, Jomin M, Lacheretz M (1982) The use of Harrington's rods in metastatic tumors with spinal cord compression. Acta Neurochir (Wien) 65: 175–181

    Google Scholar 

  82. Levy WJ, Latchaw Jr JP, Hardy RW, Hahn JP (1982) Encouraging surgical results in walking patients with epidural metastases. Neurosurgery 11, 2: 229–233

    PubMed  Google Scholar 

  83. Lewis J, McKibbin B (1974) The treatment of unstable fracture-dislocation of the thoracolumbar spine accompanied by paraplegia. J Bone Joint Surg (Br) 56B: 603–612

    Google Scholar 

  84. Lin HS, Liu YK, Adams KH (1978) Mechanical response to the lumbar intervertebral joint under physiological (complex loading). J Bone Joint Surg (Am) 60A: 41–56

    Google Scholar 

  85. Livingston KE, Perrin RG (1978) The neurosurgical management of spinal metastases causing cord and cauda equina compression. J Neurosurg 49: 839–843

    PubMed  Google Scholar 

  86. Louis R (1982) Chirurgie du rachis. Springer, Berlin Heidelberg New York

    Google Scholar 

  87. Louis R (1971) Ostéotomies vertébrales par voie antérieure. Rev Chir Orthop 57 [Suppl] 1: 163–174

    PubMed  Google Scholar 

  88. Louis R, Maresca C, Sorbier J (1977) Le double abord en deux temps du rachis. Rev Chir Orthop 63: 423–425

    PubMed  Google Scholar 

  89. Louis R, Bonsigour JP, Ouiminga R (1975) Réduction orthopédique contrôlée des fractures du rachis. Rev Chir Orthop 61: 323–344

    PubMed  Google Scholar 

  90. Lozes G, Fawaz A, Cama A, Krivosic I, Devos P, Herlant M, Sertl GO, Clarisse J, Jomin M (1989) Discectomy of the lower cervical spine using interbody biopolymer (BOP) implants. Advantages in the treatment of complicated cervical arthrosis. A review of 150 cases. Acta Neurochir (Wien) 96: 88–93

    Google Scholar 

  91. Luque ER, Cassis N, Ramirez-Viella G (1982) Segmental spinal instrumentation in the treatment of fractures of the thoracolumbar spine. Spine 7: 312

    PubMed  Google Scholar 

  92. Luque E (1982) Segmental spine instrumentation in the treatment of fractures of the spine. Orthop Transaction 6: 22

    Google Scholar 

  93. Magerl FP (1984) Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop Relat Res 189: 125–141

    PubMed  Google Scholar 

  94. Magerl FP (1982) External skeletal fixation of the lower thoracic and lumbar spine. In: Uhthoff HK (ed) Current concepts of external fixations of fractures. Springer, Berlin Heidelberg New York, pp 290–370

    Google Scholar 

  95. McAffe PC, Yuan HA, Lasda NA (1982) The unstable burst fracture. Spine 7: 365–373

    PubMed  Google Scholar 

  96. Martin N, Williamson J (1970) The role of surgery in the treatment of malignant tumors of the spine. J Bone Joint Surg 52B, 2: 227–237

    Google Scholar 

  97. Merendino J, Sertl GO, Skondia V (1984) Use of biocompatible orthopaedic polymer for fracture treatment and reconstructive orthopaedic procedures. J Int Med Res 12: 351–355

    PubMed  Google Scholar 

  98. Michel CR, Onimus M (1977) Les methodes chirurgicales. L'utilisation du mátériel de Harrington en détraction dans le traitement des fractures du rachis. Rev Chir Orthop 63 5: 456–458

    PubMed  Google Scholar 

  99. Miller CA, Dewey RC, Hunt WE (1980) Impaction fracture of the lumbar vertebrae with dural tear. J Neurosurg 53: 765–771

    PubMed  Google Scholar 

  100. Miskolczy D (1926) Über die Nervenendigungen der Knochenhaut. Z Ges Anat 81: 638–640

    Google Scholar 

  101. Michel CR (1959) Traitement précoce des complications médullaires des traumatismes rachidiens fermés (à propos de 122 observations). Thèse Médecine, Lyon

  102. Morscher E (1972) Reduction chirurgicale des fractures vertébrales. Mschr Unfallheilk, Déc 75, 12: 555–559

    Google Scholar 

  103. Morgan TH, Wharton GW, Austin GN (1970) The results of laminectomy in patients with incomplete spinal cord injuries. Paraplegia 9: 14–23

    Google Scholar 

  104. Muhr G, Tscherne H (1982) Die dorsale Plattenosteosynthese bei Wirbelfrakturen. Acta Chir Austr [Suppl] 43: 77–78

    Google Scholar 

  105. Nash Jr CL, Schatzinger LH, Brown RH, Brodkey J (1977) The unstable thoracic compression fracture. Its problems and the use of spinal cord monitoring in the evaluation of treatment. Spine 2: 261–265

    Google Scholar 

  106. Naidich TP, Pudlowski RM, Moran CJ, Gilula LA, Murphy W, Naidich JB (1979) Computed tomography of spinal fractures. Adv Neurol 22: 207–253

    PubMed  Google Scholar 

  107. Onismus M (1988) Les instabilités du rachis dorso-lombaire. Traitement par abord antérieur avec reconstruction corporéale et ostéosynthèse. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 137–139

    Google Scholar 

  108. Osebold WR, Weinstein SL, Sprague BL (1981) Thoracolumbar spine fractures. Results and treatment. Spine 6: 13–34

    PubMed  Google Scholar 

  109. Patterson RH, Arbit E (1978) A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg 48: 768–772

    PubMed  Google Scholar 

  110. Paul RL, Michael RH, Dunn JE, Williams JP (1976) Posterior transthoracic decompression of acute spinal cord injuries. J Neurosurg 43: 299–307

    Google Scholar 

  111. Panjabi MM, White AA (1980) Basic biomechanics of the spine. Neurosurg 7: 76–93

    Google Scholar 

  112. Pauwels F (1971) Biomechanics of bone grafting. Acta Orthop Belg 37: 701–725

    PubMed  Google Scholar 

  113. Pedersen HE, Blunck CFJ, Gardner E (1956) The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerves (Sinu-vertebral nerves). J Bone Joint Surg 38A: 377–391

    Google Scholar 

  114. Pentelenyi T, Zsolezai S (1988) First Hungarian neurosurgical experiences with “Fixateur Interne” in the treatment of thoraco-lumbar injuries. Acta Neurochir (Wien) 93: 104–109

    Google Scholar 

  115. Perrin RG, Livingston KE (1980) Neurosurgical treatment of pathological fracture-dislocation of the spine. J Neurosurg 52: 330–334

    PubMed  Google Scholar 

  116. Perves A, Pidhorz L, Cauchoix J (1973) Fractures du rachis dorsal et lombaire. Indications opératoires et résultats. Rev Chir Orthop 59: 491–512

    PubMed  Google Scholar 

  117. Plaue R (1973) Experimentelle Untersuchungen zur funktionellen Wirbelbruchbehandlung. Monatsschr Unfallheilk 76: 395–402

    Google Scholar 

  118. Plaze JL (1977) Étude des contraintes à l'intérieur du rachis humain: répartition des forces assurant l'équilibre du rachis dorso-lombaire avant et après ostéosynthèse. Mémoire présenté au CNAM, Clermont-Ferrand

  119. Postacchini F, Pezzeri G, Montanaro A, Natali G (1981) Computerized tomography in lumbar stenosis. J Bone Joint Surg (Br) 62B: 78–82

    Google Scholar 

  120. Privat JM, Ohanna F, Bonnel F, Frerebeau P (1984) Bases biomécaniques des ostéosynthèses dorsales et lombaires. Neurochirurgie 30, 5: 295–300

    PubMed  Google Scholar 

  121. Privat JM (1988) Ostéosynthèses postérieures. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 21–25

    Google Scholar 

  122. Privat JM (1988) Ostéosynthèses par montages courts des lésions traumatiques du rachis dorso-lombaire. Plaques “en cadre” et matériel C-D. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 99–103

    Google Scholar 

  123. Privat JM, Bonnel F, Morel M (1988) Valeur mécanique des ostéosynthèses rachidiennes postérieures (montages longs ou montages courts?) Valeur mécanique des greffes antérieures. Montages mixtes (Ostéosynthèses postérieure et greffe antérieure) par double abord. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 39–43

    Google Scholar 

  124. Privat JM, Ohanna F, Bonnel F (1988) Classification radioanatomique simplifiée des lésions traumatiques du rachis dorsolombaire. Incidence sur le choix des techniques d'ostéosynthèse. In: Privat JM (ed) Ostéosynthèses, rachidiennes. Sauramps Médical, Montpellier, pp 51–62

    Google Scholar 

  125. Purcell GA, Markolf KL, Dawson EG (1981) Twelfth thoracic-first lumbar vertebral mechanical stability of fractures after Harrington rod instrumentation. J Bone Joint Surg 63A: 71–78

    Google Scholar 

  126. Quencer RM, Murtagh FR, Post MJD, Rosomoff HL, Stokes NA (1978) Postoperative bony stenosis of the lumbar spinal canal, evaluation of 164 symptomatic patients with axial radiography. AJR 131: 1059–1064

    PubMed  Google Scholar 

  127. Rabischong P, Avril J (1965) Rôle biomecanique des poutres composites os-muscles. Rev Chir Orthop 51, 5: 437–458

    PubMed  Google Scholar 

  128. Richaud J, Boetto S, Lazorthes Y (1986) Posterolateral approach and anterior spinal canal recalibration in severe spinal injury affecting T-12, L-l: A study of seven cases. Neurosurgery 19, 2: 218–227

    PubMed  Google Scholar 

  129. Richaud J (1988) Recalibrage par voie postéro-latérale des sténoses traumatiques récentes du rachis dorso-lombaire. In: Privat JM (ed) Ostéosynthèses rachidiennes. Sauramps Médical, Montpellier, pp 75–83

    Google Scholar 

  130. Richaud J, Boetto S, Lazorthes Y (1985) Apport de la tomodensitométrie en traumatologie récente du rachis (à propos de 31 observations). Neurochirurgie 31, 499–512

    PubMed  Google Scholar 

  131. Robert JM, Curtis MH (1970) Stability of the thoracic and lumbar spine in traumatic paraplegia following fracture or fracture-dislocation. J Bone Joint Surg 52A: 1115–1130

    Google Scholar 

  132. Rolander D (1966) Motion of the lumbar spine with special reference to the stabilizing effect of posterior fusion. An experimental study on autopsy specimens. Thèse, University of Göteborg, Sweden

    Google Scholar 

  133. Rosenthal RE, Lowery ER (1960) Unstable fracture-dislocation of the thoracolumbar spine: Results of surgical treatment. J Bone Surg (Br) 42B, 485–490

    Google Scholar 

  134. Roy-Camille R (1980, 1983) Rachis dorso-lombaire traumatique non neurologique. Saillant G, Masson (ed) Rachis traumatique neurologique. 2ème & 3ème Journees d'Orthopédie de la Pitié

  135. Roy-Camille R, Saillant J, Mazelch (1986) Plating of thoracic, thoracolumbar and lumbar injuries with pedicle screw plates. Orthop Clin North Am 17: 147–159

    PubMed  Google Scholar 

  136. Schartau O (1936) Beiträge zur Innervation der Reptilien. Z Mikro Anat Fortschr 39: 172–214

    Google Scholar 

  137. Schmidek HH, Gomes FB, Seligson D, McSherry JW (1980) Management of acute unstable thoraco-lumbar (T 11-L1) with and without neurological deficit. Neurosurgery 7: 30–35

    PubMed  Google Scholar 

  138. Schreiber A, Suezawa Y (1986) Transdiscoscopic percutaneous discectomy in disc herniation. Orthop Rev 15: 75

    Google Scholar 

  139. Schreiber A, Leu HJ (1989) Stabilisation vertébrale et arthrodèse intersomatique percutanée: possibilités actuelles. Rachis 1, 2: 173–179

    Google Scholar 

  140. Scoville WB, Palmer AH, Khairy S, Chong G (1967) The use of acrylic plastic for vertebral replacement or fixation in metastatic disease of the spine. J Neurosurg 27: 274–279

    PubMed  Google Scholar 

  141. Senegas J (1977) Abord combiné en un temps des lésions dorsolombaires. Rev Chir Orthop 63: 5: 471

    PubMed  Google Scholar 

  142. Spencer DL, Dewald RL (1979) Simultaneous anterior and posterior approach to the thoracic and lumbar spine. Spine 1979, 4, 29–35

    Google Scholar 

  143. Sheppherd J (1986) Percutaneous discectomy. A preliminary report. Altern Spin Surg 3: 1–6

    Google Scholar 

  144. Sherman MS (1963) The nerves of bone. J Bone Joint Surg 45-A: 522–528

    Google Scholar 

  145. Spencer DL, Dewald RL (1979) Simultaneous anterior and posterior approach to the thoracic and lumbar spine. Spine 4, 1: 29–35

    PubMed  Google Scholar 

  146. Stilwell Jr DL (1956) The nerve supply of the vertebral column and its associated structures in the monkey. Anatomical Record 125: 139–169

    PubMed  Google Scholar 

  147. Stöhr Jr P (1929) Beiträge mikroskopische Anatomie des vegetativen Nervensystems. Urban und Schwarzenberg, Berlin

    Google Scholar 

  148. Suezawa Y, Jacob HAC, Brandenberg JE, Blasbalg DT (1983) Diskoskopie — ein weiterer Schritt zur Diagnostik und Behandlung der lumbalen Diskusläsion. In: Hackenbroth, MHet al (Hrsg) Biomechanik der Wirbelsäule, p 130

  149. Swenson O, Aaro S, Ohlen G (1984) Harrington instrumentation for thoracic and lumbar vertebral fractures. Acta Orthop Scand 55: 38–47

    PubMed  Google Scholar 

  150. Tarlov IM (1972) Acute spinal cord compression paralysis. Neurosurg 36: 10–20

    Google Scholar 

  151. Terver S (1975) Réflexions critiques sur le traitement des fractures graves due rachis dorso-lombaire par laminectomie-ostéosynthèse. Thèse Médecine, Clermont-Ferrand

  152. Variot G, Remy C (1880) Sur les nerfs de la moelle des os. J Anat Physiol 16: 273–284

    Google Scholar 

  153. Vlahovitch B, Fuentes JM (1973) Apport des méthodes d'ostéosynthèse à la chirurgie vertébromédullaire. Neurochirurgie 20: 61–80

    Google Scholar 

  154. Weiss M (1975) Dynamic spine alloplasty (spring-loading corrective devices), after fracture and spinal cord injury. Clin Orthop 112: 150–158

    PubMed  Google Scholar 

  155. Weiss M, Bentkowski Z (1974) Biomechanical study in dynamic spondylodesis of the spine. Clin Orthop 103: 199–203

    PubMed  Google Scholar 

  156. Wiberg J, Hauge HN (1988) Neurological outcome after surgery for thoracic and lumbar spine injuries. Acta Neurochir (Wien) 91: 106–112

    Google Scholar 

  157. White AA, Panjagi MM (1978) The basic kinematics of the human spine. A review of past and current knowledge. Spine 3: 12–20

    PubMed  Google Scholar 

  158. White AA, Panjabi MM, Thomas CL (1977) The clinical biomechanics of kyphotic deformities, Clin Orthop 128: 8–17

    PubMed  Google Scholar 

  159. White W, Patterson R, Bergland R (1971) The role of surgery in the treatment of spinal cord compression by metastatic neoplasm. Cancer 27: 558–561

    PubMed  Google Scholar 

  160. Whitesides Jr TE (1977) Traumatic kyphosis of the thoracolumbar spine. Clin Orthop 128: 78–92

    PubMed  Google Scholar 

  161. Whitesides Jr TE, Shah SGA (1976) On the management of unstable fractures of the thoraco-lumbar spine. Rationale for use of anterior decompression and fusion and posterior stabilization. Spine 1: 99–107

    Google Scholar 

  162. Wright RL (1963) Malignant tumors in the spinal extradural space. Results of surgical treatment. Ann Surg 157: 227–231

    PubMed  Google Scholar 

  163. Yashon D, Bingham GW, Faddoul EM, Hunt WE (1973) Edema of the spinal cord following experimental impact trauma. J Neurosurg 38: 693–697

    PubMed  Google Scholar 

  164. Yosipovitch Z, Robin GC, Makin M (1977) Open reduction of unstable throacolumbar spinal injuries and fixation with Harrington rods. J Bone Joint Surg 59A: 1003–1015

    Google Scholar 

  165. Young R, Post E, King G (1980) Treatment of spinal epidural metastases. J Neurosurg 53: 741–748

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lozes, G., Fawaz, A., Mescola, P. et al. Percutaneous interbody osteosynthesis in the treatment of thoracolumbar traumatic or tumoural lesions. Acta neurochir 102, 42–53 (1990). https://doi.org/10.1007/BF01402185

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01402185

Keywords

Navigation