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Experimental study of ligamentotaxis maneuvers sequencing in vertebral canal decompression

Vertebral canal decompression, intended to provide relief to nervous structures, may be performed by means of legamentotaxis. The objective of this study was to assess the influence of the ligamentotaxis sequence on vertebral canal decompression. Vertebral segments of Landrace swine specimens were used. A device especially developed for producing a burst-type fracture was employed. Subsequently to the computerized tomography scan, 10 specimens that best showed a burst-type fracture were fixated with internal fixator (Synthes). Two groups were formed. On the first group (n=5), lordosis followed by distraction were performed. Then, they were submitted to distraction and lordosis. On the second group (n=5), distraction was provided first, and then lordosis was performed. After each maneuver, vertebral canal was measured by tomography scan. Fractured vertebral body fragments were measured and compared using the Student's t test (p<0,05). By comparing dislocations between groups, no statistical differences were found (p<0,06). This result is close to the significance level adopted, suggesting a strong trend towards a better effectiveness of the maneuver started with lordosis.

Vertebral spine fractures; Lumbar vertebrae; Fractures, internal fixation; Follow-up


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