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REDUCTION AND STABILIZATION OF THORACOLUMBAR FRACTURES WITH ALICI SYSTEM

  • KUTLUAY E.
  • CANSUNAR E.
  • SEBİK A.
  • GİLİM E.
  • EREL N.

J Turk Spinal Surg 1991;2(3):93-96

Numerous studies have been conducted on biomechanics, kinesiology, radiology and the principles of healing spinal fractures in the last fiftyyears (6). Along with the development of computerized axial tomography (CAT), the evaluation of the anatomical changes in the fractured area of the spine and the treatment of the fracture have been facilitated (10).

Only recently have the majör advantages of surgery became well accepted and recognized to improve reduc-tions, have more effective stabilization, earlier mobilization and rehabilization and to prevent late deformity (8). Op-erative management has resulted in a shorter hospital stay and neurologic recvory can be facilitated by surgical stabilization (2, 4).

The aim of the treatment of spinal injuries is the restoration of the normal pain-free, static, dynamic and protec-tive functions of the spine.

Various devices have been developed in the last 30 years for the surgical treatment of spinal problems, dating back to Harrington, Roy-Camille, Steffee, ete. Another well known AO spinal internal fixator was developed by Dick based on ESSF designed by Magerl. The coupling mechanism with Schanz screws and rods is mobile in the sagittal plane and thus allows for restorations of kyphosis and lordosis. The system itself can be maintained in dis-traetion compression or neutralization.

A new device has been developed by Alıcı, in the last S years. The system consists of threaded rods, hooks, serevvs and connecting pleces.

The purpose of this study is to evaluate the results of surgical treatment conducted with the Alıcı Spinal System.