Acta Orthop Belg
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The objective of the present study was to investigate whether transpedicular bone grafting as a supplement to posterior pedicle screw fixation in thoracolumbar fractures results in a stable reconstruction of the anterior column, that allows healing of the fracture without loss of correction. Posterior instrumentation using an internal fixator is a standard procedure for stabilizing the injured thoracolumbar spine. Transpedicular bone grafting was first described by Daniaux in 1986 to achieve intrabody fusion. ⋯ Mean Cobb's angle improved from +7.16 degrees (SD 12.44) preoperatively to -5.48 degrees (SD 11.44) immediately after operation, with a mean loss of correction of 1.00 degrees (SD 3.04) at two years. Reconstruction of the anterior column is important to prevent loss of correction. In our experience, the use of transpedicular bone grafting has efficiently restored the anterior column and has preserved the post-operative correction of kyphosis until healing of the fracture.