It's very difficult to obtain reduction and to maintain the reduction with instrumentation in fracture-dislocations of spine. For this reason, in cases with thoracolumbar fracture - dislocations interspinous compression by means of rods or wires may be necessary in order to enhance the stability.
İn this study, we evaluated the results of Alıcı Spinal System combined with interspinous compressive vviring in the treatment of thoracolumbar fracture-dislocations. Mean follow-up was 22.3 months in 25 of 27 patı'ents. Their mean age was 30, 12 of them were male and 15 of them were female.
İn one case, reduction and instrumentation was technically unsuccessful, intraoperatively. Spinal alignment was anatomically successful in the other cases. 24 (20 of were complete and 4 were incomplete) of 25 fully fol-lowed cases had neurodeficits preoperativeiy. İn the follow-up, only, 2 of the cases had shown partial neurologic recovery. İn the late foliow-up, spinal alignment has been stili preserved.
İn the light of our results, we can suggest Alıcı Spinal System in combination with interspinous vviring in the treatment of fracture-dislocations of the spine.
Keywords: Thoraco-lumbar spine, fracture-dislocation, Alıcı Spinal System, interspinous compression vviring.