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Journal of Korean Neurosurgical Society 1988;17(6): 1421-1432. |
Postural Reduction for the Compression Fracture of the Thoracolumbar Spines. |
Young Soo Kim, Key Wook Kim, Hyung Chun Park, Sang Sup Chung, Kyu Chang Lee |
Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. |
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ABSTRACT |
Postural reduction was performed in 20 cases of the closed thoracolumbar compression fracture using a soft pillow from January 1982 to June 1985. The results were summarized as following: 1) The compression fracture or mild burst fracture of the thoracolumbar spines can be restored by the postural reduction in hyperextension position using a soft pillow under the back of thoracolumbar junction. 2) The postural reduction resulted in not only expansion of a compressed vertebral body but also successful fusion. 3) It was most satisfactory when the postural reduction was performed as early as possible, at least within 1 week after injury. 4) The postural reduction is considered a simple and convenient treatment of the thoracolumbar compression fracture. |
Key Words:
Postural reduction; Soft pillow; Hyperextension position; Compression height ratio; Wedge angle; Kyphosis angle |
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