Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation

Supplemented with Balloon-Assisted Vertebroplasty and Calcium Phosphate Reconstruction

by Rex A.W. Marco, B. Christoph Meyer, and Vivek P. Kushwaha

JBJS Essent Surg TechVolume os-92(Supplement 1 Part 1):67-76

March 1, 2010

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph demonstrating reduction of the kyphotic deformity by crossing the handles of the wrenches, which have been placed over the Schanz screws.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph demonstrating distraction of the Schanz screw on the rod, which partially restores the lost vertebral body height.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph demonstrating the balloon tamps placed through the working cannulas into the fractured vertebra.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative fluoroscopic image demonstrating the inflated balloon tamps, which further restore lost vertebral body height and create a cavitary void once the balloons are deflated.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.

Rex A.W. Marco et al. J Bone Joint Surg Am 2010;os-92:67-76

©2010 by The Journal of Bone and Joint Surgery, Inc.