In the last fifteen years CT Scans and improved knowledge on spinal biomechanics have clearly shown that how poor results, closed reduction, and brace treatment may give in the treatment of the traumatic injuries of thoracolumbar spine.
In this study we are presenting 12 thoracolumbar spinal fractures treating with C-D instrumentation and posterior fusion at first orthopedic and traumatology clinic of Ankara Social Security hospital, from December 1988 to December 1989. one of them was Til, three T12, three LI, two L2, and one L3 burst fractures, one of them was L3-4 dislocation, and the other one L3 compression fracture.
CDl applies more stabilityl and rigidity to created thoracolumbar spinal fractures than the other system while immobilizing less segments. This study suggest that CDl should be employed for posterior stabilization of thoracolumbar spinal fractures with important advantages and provided better correction of thoracic and lumbar postural angles.
CDl for stabilization of traumatic lesions of the spine follows 3 main principles, different from others;
a. Short instrumentation
b. The possibility of trans pediculer fixation by screw
c. additional reduction device which is an asymelrical clinder and its special ancillary instrument to wrap it around the rod.