Der Unfallchirurg
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Comparative Study
[Osseous integration of autogenous bone grafts following combined dorso-ventral instrumentation of unstable thoracolumbar spine fractures].
It is widely believed that combined dorso-ventral stabilization provides superior mechanic stability in the operative treatment of thoracolumbar spine fractures. Currently there are no data available reflecting the fusion rates in trauma patients following the combined procedure. Aim of this investigation was to study the fusion rates following dorso-ventral stabilization of thoracolumbar spine fractures and the rates of local complications at the donor site. ⋯ Our experiences with autogenous spine grafting gave evidence that a reliable osseus integration can not be expected in all of the cases. Furthermore one has to consider a high rate of local complications. Therefore alternative procedures such as the use of cages will be of increasing influence in the surgical treatment of thoracolumbar spine fractures.