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Journal of Korean Neurosurgical Society 2005;37(5): 389-391.
Posterior Interbody Fusion using Cage for T4 Bursting Fracture.
Seok Won Kim, Seung Myung Lee, Ho Shin
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@hanmail.net
ABSTRACT
We report a case of T4 bursting fracture with paraparesis that recovered by posterior approach. A 47-year-old man presented with paraparesis (gradeIII) which had progressed rapidly after motor cycle accident. After sacrificing the T4 nerve root (right), posterior interbody fusion using cage following T4 corpectomy and T3-4, T4-5 discectomy was performed. After operation, lower extremities motor power improved and he could walk after one month. And this is the first report of posterior approach using cage by corpectomy and two level discectomy in case of upper thoracic burst fracture in Korea.
Key Words: Upper thoracic burst fracture; Posterior interbody fusion
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