Stabilization of Unstable Fracture-Dislocation of Spine with Harrington Instrumentation

Yung Sik Yang; Young Min Kim; Moon Sang Chung

doi:10.4055/jkoa.1975.10.3.282

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Yang, Kim, and Chung: Stabilization of Unstable Fracture-Dislocation of Spine with Harrington Instrumentation

Case Report

J Korean Orthop Assoc 1975;10(3):282-287.

Published online: 20 September 1975

DOI: https://doi.org/10.4055/jkoa.1975.10.3.282

Stabilization of Unstable Fracture-Dislocation of Spine with Harrington Instrumentation

Yung Sik Yang, M.D., Young Min Kim, M.D., Moon Sang Chung, M.D.

¹Dep't of Orthopedic Surgery, College of Medicine, Seoul National University

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The treatment of unstable fracture-dislocation of the spine remains controversial in terms of conservative and surgical intervention. Guttmann (1954, 1965. 1969) strongly emphasizes the conservative approach, however Holdsworth and Hardy (1953, 1963) advise early open reduction and internal fixation.

For internal fixation Rogers wire loop (1942), Wilson plates (1952), and Williams plates (1963) have been used. Recently Amstrong and Johnston (1974) reported effective stabilization of spinal injuries with Harrington instrumentation in 8 cases.

We obtained a good result in a case of L3-4 fracture-dislocation, which was redislocated after the fixation of Rogers wire loop and then stabilized and maintained very well by using Harrington rods.

It is felf that Harrington instrumentation is an excellent armament for spinal stabilization of the spine fracture-dislocation except for the cervical spine.

REFERENCES

1.Amstrong G. W. D.., Jonston D. H.Stabilisci ion of spinal injuries using Herrington instrumentation (proceeding). J.B.J.S. 56-B:590. 1974.

2.Crenshaw A. H.Campbell's operative orthopedics. 5th edition. 1971.

3.Harrington P. R.Treatment of scoliosis-correcton cud internal fixation by spine instrumentation,. J. B. J. S. 44-A:591–610. 1962.

4.Holdsworth F. W.., Hardy A.Early treatment of paraplegia from fractures of the thoracolumbar spine. J. B. J. S. 35-B:540–550. 1953.

5.Holdsworth F. W.Fracture, dislocation and fracture-dislocation of the spine. J. B. J. S. 45-B:6–20. 1963.

6.Käufer H.., Hayes J. J.Lumber fracture- dislocation. J. B. J. S. 48-A:712–730. 1966.

7.Kilfoyle R. M.., Foley J. J.., Norton P. L.Spine and pelvic deformity in childhood and adolescent paraplegia-A study of 104 cases. J. B.J.S. 47-A:659–682. 1965.

8.Lewis J.., Mckibbin B.The treatment of unstable fracture-dislocations of the thoracolumbar spine accompanied by paraplegia. J. J. B. J. S. 56-B:603–612. 1974.

9.Nicoll E. A.Fractures of the dorsolumber spine.,. J. B. J. S. 31-B:376–394. 1949.

10.Rogers W. A.Fractures and dislocations of the cervical spine. J. B. J. S. 39-A:341–376. 1957.

11.Wilson P. D.., Straub L. R.Lumbosacral fusion with metallic fixation. A. A. O. S. Instructional Course Lectures. Vol. XI:53–57. 1952.

䰼 1

㷨㼿⤼ 6㴤叼㨰㢯凷㴜㨰㻤㋔㧿⪤ 㥬㉬䊀㣼 X-㻠㽔㘼

䰼 2

㟤 1 ㏘㷨㷠⤼ 5㢄㨰㋔㧿⩸䲨㥬㉬䊀㣼 X-㻠㹴協 : Rogers wire loop 㢨 loosening 匄丁·g·㟼匄叧·广㡔⼸劔㢨㹴協㣘䌌㡼·

䰼 3

㡔⼫劔䚄䏤協⪤㙀㪃 3㴤叼 ⤼㨰䮰古㢨 Harrington distraction 柱䚄㽔㥗⪨㨔 1㽔匄 U 㽔㢌䚄匠㟫⪤ ⤼㨰㋔㧿⪤ χ-㻠㹴協

䰼 4

㟤 2㏘㷨㷠⤼ 㪃 4古㤬㨰㋔㧿⪤ 㥬㉬f 㣼 X-㻠㹴協 : 匘㟸ᅳ⼸劔䊀㣼㢨㪸㟫 (Stability)㢌 Harrington 柱㨰㢨⪨㨔㡨㣠㙀䯨匠㡸㢴㢼䇴㨔㜄匠㡸䴜.

䰼 5

㥐㇟㢨 Harrington 柱䚄㟤厐⪨匠㟤 3 匄㟤 4 㥬㉬叼㨰匘㢌㴣㢼㍘吀⪤ ⤼㨰㋔㧿⪤ 㥬㉬䊀㣼 X-㻠㹴協

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