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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.
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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