Intermediary Screws in Thoracolumbar Burst Fractures

Short segment pedicle screw fixation is the most common treatment for thoracolumbar fractures. However, it may not be adequate to achieve and maintain reduction of the fracture and is associated with a high rate of failure. Additional procedures have been offered as alternative solutions to prevent this failure. Long segmental instrumentation or placements of screws at fracture site are some alternatives. Correction of sagittal deformity is important for the maintenance of fracture reduction and may have an effect on functional outcome. Intraoperative correction of sagittal deformity and fracture reduction can be managed easily through placement of screws at the fracture level. This book covers the basic science of burst fracture instrumentation, a clinical study of the efficacy of intermediary screws and special consideration on osteoporotic spine, pediatric spine and minimally invasive spine surgery.