The operations performed in order to maintain normal anatomy and stabilization of the spinal cana! in vertebrai injuries have frequently been a matter of discussion. The relationship between neurologic healing and correction of the spinal canal is not very clear. Neurologic findings of the cases at admissı'on, preoperative and postoperative examinat'ıon were grouped according to Frankel classification. Disiocation angulation of the bones and their pressure on the neurologic tissues were evaluated with AP and lateral X-rays and Computerized Tomography (CT) of spine.
Conservative management and internal stabilization with laminectomy and laminectomy plus posterior instru-mentation were performed. Their neurologic State were followed up for one year minimum. We observed that the level of neurologic healing was not in correlation with the ratio of the correction in cases of preoperative advanced vertebrai disiocation. Neurologic progress of our cases in which decompression was obtained with early laminectomy was better at the beginning, but later, pain occured and neurodeficit increased with deformity.
Keywords: Spinal trauma, Neurologic deficit, Spinal instrumentation, Spinal CT.