alexa A Transdural Approach for Lower Lumbar Burst Fractures. A Novel(Kotil) Technical Note
ISSN: 2165-7939

Journal of Spine
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Research Article

A Transdural Approach for Lower Lumbar Burst Fractures. A Novel(Kotil) Technical Note

Kadir Kotil1* and Selim Kayaci2
1Istanbul Arel University, Department of Health Sciences, Ä°stanbul, Turkey
2Department of neurosurgery, T.C. Rize University, Istanbul, Turkey
Corresponding Author : Kadir Kotil
Istanbul Arel University
Department of Health Sciences
Türkoba Mah, Erguvan Sok No: 26/k
Tepekent, Ä°stanbul, Turkey
Tel: 002163601226, 0 5322628170
Fax: 002163020391
E-mail: [email protected]
Received February 13, 2015; Accepted March 20, 2015; Published March 22, 2015
Citation: Kotil K, Kayaci S (2015) A Transdural Approach for Lower Lumbar Burst Fractures. A Novel (Kotil) Technical Note. J Spine 4:221. doi:10.4172/2165-7939.1000221
Copyright: © 2015 Kotil K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The treatment of surgical procedure of lower lumbar burst fractures is challenged. The optimal method remains controversial. To assess the usefulness and safety of a novel both decompression and reconstructive procedures known as transdural approaches of lower lumbar spine burst fracture. For this reason, we presented the results of a trans-dural approach which is a new technique. We presented the reconstruction and dural repairing results of 5 cases that were operated on between the years 1995-2011 due to lower lumbar burst fractures with a trans-dural surgical technique. Cases were chosen for this technique according to the presence of lamina fractures displayed on tomography (CT) and lumbar (MRI). Intra canal fragments, lamina fractures were determined. The postoperative opening of the spinal canal, the loss of height of the middle and anterior column and the postoperative fusion results were investigated. The surgical results of the cases were classified according to the Odom’s criteria. No instances of neurological deterioration and instrument failure occurred and no complications were noted with the use of this technique. All five patients had neurological function recovery at the most recent follow-up visit. In conclusion, this reported new surgical approach is an efficient and safe method for the treatment of traumatic lower lumbar burst fractures.

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