Preservación de la movilidad del segmento lesionado en las fracturas toracolumbares

Abstract

When it has been decided to opt for surgical treatment to resolve a thoracolumbar fracture, the options of approach and fixation available to the surgeon are wide and not consensual despite the efforts of multiple authors to classify them and recommend therapeutic guidelines. Treatment consisting of reduction and fixation with pedicle screws has shown loss of fracture correction at ten years of follow-up both in groups with and without arthrodesis (p> 0.05). In other words, routinely performing arthrodesis does not guarantee that progressive kyphosis can be avoided. Likewise, not arthrodesing the fractured level maintains the functionality of the intervertebral discs and avoids the complications of an arthrodesis. To date, few studies have considered regional segmental mobility and the movement of the injured and uninjured disc as parameters for preserving movement and disc functionality in a column previously fixed by fracture.