Twenty-two patients with burst fractures in this mechanically and neurologically distinct region (T11-L2) were studies at injury and after scute surgical reduction and stabilization (antikyphosis and ligamentotaxis concept). Canal compromise averaged 42percnt; (10ndash;82percnt;) before surgery, and at follow-up 14percnt; (0ndash;46percnt;), segmental kyphosis 15deg; (4deg;-27deg;) and 3deg; (0deg;-15deg;), and vertebral segment height 62percnt; (41ndash;85percnt;) and 86percnt; (60ndash;100percnt;), respectively. Incomplete patiens gained an average of 1.8 Frankel subgrades. The described treatment can predictably recanalize the spine, correct deformity, and stabilize Neurologic compromise. A significant correlation between postoperative naurologic status and the radiographic critieria under study could not be established.
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