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Journal of Korean Neurosurgical Society 1992;21(7): 792-800.
Clinical Analysis of Anterior Interbody Fusion Using Kaneda Device in Unstable Thoracolumbar Spinal Lesions(Long Term Follow-up Results).
Seung Myung Lee, Ho Shin
Department of Neurosurgery, College of Medicine, Chosun University, Kwangju, Korea.
Recently anterior spinal device(Kaneda device) for the treatment of the unstable spine has been used. We have experienced 33 patients of the unstable thoracolumbar spine, which were composed of 24 cases with burst fracture, 1 case with kyphotic angulation, and 8 patients with tuberculous spondylitis. These 33 patients were treated with and one stage anterior operation consisting of anterior decompression by vertebrectomy and diskectomies, and interbody fusion using autogenous ribs or iliac bone realigment and stabilization with Kaneda device. No patient showed neurologic deterioration after surgery. Follow-up periodes was 6 months to 2.5 years. The anterior spinal instrumentation with Kaneda deviced affored enough stability to enable early ambulation with good aligment and solid fusion.
Key Words: Unstable thoracolumbar spinal lesions; Anterior interbody fusion; Kaneda device; Stability early ambulation
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