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Journal of Korean Neurosurgical Society 1996;25(7): 1473-1479.
Postural Reduction in Compression Fracture of Spines.
Seung Hwan Youn, Keun Soo Kim, Ho Yeol Zhang, Young Soo Kim
1Department of Neurosurgery, Yongdong Severance Hospital, College of Medicine, Yonsei University, Seoul, Korea.
2Department of Neurosurgery, College of Medicine, Chonbuk University, Chonju, Korea.
ABSTRACT
121 patients with cervical(45 patients), thoracolumbar(76 patients) compression or mild burst fractures from January 1984 to December 1994 were studied:98 patients were treated postural reduction with hyperextension posture and 23 patients were with postural reduction and surgical methods. We compared the initial and post-reduction compression height ratio, wedge angle and kyphosis angle of compression fractures. The results were not only expansion of a compressed vertebral body but also successful fusion. The neurological recovery status according to Frankel classification was also improved after postural reduction. Most of the compression fractures or stable burst fractures of the cervical, thoracolumbar spines can be restored by the postural reduction.
Key Words: Compression fracture; Postural reduction; Compression height ratio; Wedge angle; Kyphosis angle
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