Anterior column reconstruction with mono-segmental fusion and lag screw fixation of sagittal split for burst-split fracture of the thoracolumbar spine
Thoracolumbar burst-split fractures can be safely and successfully treated through a treatment protocol that includes (1) posterior reduction and bisegmental instrumention, (2) anterior screw fixation of the caudal sagittal split, (3) anterior one-level fusion of the cranial segment, and (4) interval posterior implant removal. This new surgical technique promotes reliable fracture healing, kyphosis correction and preserves the physiological motion at the caudal segment.
Authors
- Jan Gewiess (ORCID: https://orcid.org/0000-0002-9366-6375)
- Christoph E. Albers (ORCID: https://orcid.org/0000-0003-2751-3458)
- Marius J. B. Keel (ORCID: https://orcid.org/0000-0003-4951-4507)
- Lorin M. Benneker (ORCID: https://orcid.org/0000-0002-5320-5638)
- Vasileios Despotidis
- Sebastian Wangler (ORCID: https://orcid.org/0000-0003-0166-5525)
- Moritz C. Deml (ORCID: https://orcid.org/0000-0003-1829-4820)
Institutions
- University of Bern (CH)
- University Hospital of Bern (CH)
- Klinik Hirslanden (CH)
- Klinik Sonnenhof (CH)
Publication Details
- Journal
- European Journal of Trauma and Emergency Surgery
- Published
- 2025-11-25
- DOI
- https://doi.org/10.1007/s00068-025-03018-y
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00