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European Orthopaedics and Traumatology
Published in: European Orthopaedics and Traumatology 4/2013

Open Access 01-12-2013 | Case Report

A chronic flexion-distraction injury with a “fistulous wither” on the split spinous process of the L1 vertebra—a case report of a modified transpedicle wedge osteotomy

Authors: Koichiro Okuyama, Hiroshi Sasaki, Tadato Kido, Mitsuho Chiba

Published in: European Orthopaedics and Traumatology | Issue 4/2013

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Excerpt

Flexion-distraction injuries (FDIs) are caused by high-energy force and momentum on the spine. In general, the posterior column and the posterior wall of the affected vertebra have failed in distraction, and the anterior column has failed in compression based on Denis’ three column theory [1]. Hoshikawa et al. has proposed a motion axis of FDIs, which is defined as a transitional line from the anterior compression to the posterior splitting failure [2]. In terms of biomechanics, the integrity of the posterior tension band of the affected vertebrae has failed in FDIs. As a result of this loss of integrity of the posterior element, kyphotic deformity easily develops and remains unless proper treatment has been optioned in FDIs. …
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Hoshikawa T, Tanaka Y, Kokubun S et al (2002) Flexion-distraction injuries in the thoracolumbar spine: an in vitro study of the relation between flexion angle and the motion axis of fracture. J Spinal Disord Tech 15:139–143PubMedCrossRef
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Metadata
Title
A chronic flexion-distraction injury with a “fistulous wither” on the split spinous process of the L1 vertebra—a case report of a modified transpedicle wedge osteotomy
Authors
Koichiro Okuyama
Hiroshi Sasaki
Tadato Kido
Mitsuho Chiba
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
European Orthopaedics and Traumatology / Issue 4/2013
Print ISSN: 1867-4569
Electronic ISSN: 1867-4577
DOI
https://doi.org/10.1007/s12570-013-0181-7

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