Anterior stabilization of thoracolumbar burst XXXX using the Kaneda device: a preliminary report.

@entity1 @entity174 @entity19140 @entity358 @entity1410 @entity451 @entity85 @entity1516
Anterior decompression and fusion is a valuable technique in the treatment of thoracolumbar burst @entity174 . Anterior instrumentation has evolved to @entity85 and stabilize the spinal segments during decompression and bone grafting as a single-stage procedure. One anterior device developed by Kaneda has been used in our institution since 1989. This study is an initial review of our experience with this instrumentation. Anterior decompression and fusion augmented with the Kaneda device was performed in 20 @entity1 with thoracolumbar burst @entity174 . Timing of surgery was early (< 15 days) in 13 @entity1 , intermediate (16 to 120 days) in 2, and delayed (> 121 days) in 5. Sixteen @entity1 were neurologically intact (Eismont grade D), 3 with distal weakness (Eismont grade B or C) and 1 with complete @entity451 (Eismont grade A). All @entity1 with deficits recovered one Eismont grade after anterior decompression and fusion. Complications included @entity358 in 2 @entity1 , a thoracic duct laceration requiring ligation, and a sympathectomy effect of the lower extremity. One @entity1 had a @entity358 and developed a @entity1410 at the graft harvest site while on anticoagulants with resultant @entity19140 paresthetica. There have been three screw failures and one definite @entity1516 . Anterior decompression and fusion supplemented by the Kaneda device was performed on 20 @entity1 with thoracolumbar burst @entity174 . The average correction of kyphosis was approximately 50% acutely, with loss of approximately 50% of correction at follow up. In some @entity1 , @entity85 was created by the device. No effect on neurologic recovery could be shown with this small series. Perioperative complication rate was 30%, and 1 @entity1 developed @entity1516 .
