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Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon- Assisted Vertebroplasty and Calcium Phosphate Reconstruction by Rex A.W. Marco, B. Christoph Meyer, and Vivek P. Kushwaha JBJS Essent Surg Tech Volume os-92(Supplement 1 Part 1):67-76 March 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

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Page 1: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation

Supplemented with Balloon-Assisted Vertebroplasty and Calcium Phosphate Reconstruction

by Rex A.W. Marco, B. Christoph Meyer, and Vivek P. Kushwaha

JBJS Essent Surg TechVolume os-92(Supplement 1 Part 1):67-76

March 1, 2010

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Intraoperative photograph demonstrating reduction of the kyphotic deformity by crossing the handles of the wrenches, which have been placed over the Schanz screws.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Intraoperative photograph demonstrating distraction of the Schanz screw on the rod, which partially restores the lost vertebral body height.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Intraoperative photograph demonstrating the balloon tamps placed through the working cannulas into the fractured vertebra.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Intraoperative fluoroscopic image demonstrating the inflated balloon tamps, which further restore lost vertebral body height and create a cavitary void once the balloons are deflated.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 14: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Page 15: Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.