J Korean Orthop Assoc.  1975 Sep;10(3):282-287. 10.4055/jkoa.1975.10.3.282.

Stabilization of Unstable Fracture-dislocation of Spine with Harrington Instrumentation: A Case Report

• Kim YM
• Chung MS
• Yang YS

• KMID: 2471428
• DOI: http://doi.org/10.4055/jkoa.1975.10.3.282

Abstract

The treatment of unstable fracture-dislocation of the spine remains controversial in terms of conservative and surgical Intervention. Guttmann (1954, 1965. 1969) strongly emphasizes the conservative approach, however Holdsworth and Hardy (1953. 1963) advise early open reduction and internal fixation. For internal fixation Rogers wire loop (1942), Wilson plates (1952). and Williams plates (1963) have been used Recently Amstrong and Johnston (1974) reported effective stabilization of spinal injuries with Harrington instrumentation in 8 cases. We obtained a good result in a case of L3-4 fracture-dislocation, which was redislocated after the fixation of Rogers wire loop and then stabilized and maintained very well by using Harrington rods. It is felt that Harrington Instrumentation is an excellent armament for spinal stabilization of the spine fracture-dislocation except for the cervical spine.

MeSH Terms

Spinal Injuries
Spine*

Figure

• 

  䰼 1 㷨㼿⤼ 6㴤叼㨰 㢯凷㴜㨰㻤 ㋔㧿⪤ 㥬㉬䊀㣼 X-㻠 㽔㘼

• 

  䰼 2 㟤 1 ㏘ 㷨㷠⤼ 5㢄㨰 ㋔㧿⩸䲨 㥬㉬䊀㣼 X-㻠 㹴協 : Rogers wire loop 㢨 loosening 匄 丁·g·㟼匄 叧·广 㡔⼸劔㢨 㹴協㣘 䌌㡼·

• 

  䰼 3 㡔⼫劔䚄 䏤協⪤㙀 㪃 3㴤叼 ⤼㨰 䮰古㢨 Harrington distraction 柱䚄 㽔㥗⪨㨔 1㽔匄 U 㽔㢌䚄 匠㟫⪤ ⤼㨰 ㋔㧿⪤ χ-㻠 㹴協

• 

  䰼 4 㟤 2㏘ 㷨㷠⤼ 㪃 4古㤬㨰 ㋔㧿⪤ 㥬㉬f 㣼 X-㻠 㹴協 : 匘㟸ᅳ⼸劔䊀㣼㢨 㪸㟫 (Stability)㢌 Harrington 柱㨰 㢨⪨㨔 㡨 㣠㙀䯨匠 㡸㢴㢼 䇴㨔㜄匠 㡸䴜.

• 

  䰼 5 㥐㇟㢨 Harrington 柱䚄 㟤厐⪨匠 㟤 3 匄㟤 4 㥬㉬叼㨰 匘㢌㴣㢼 ㍘吀⪤ ⤼㨰 ㋔㧿⪤ 㥬㉬䊀㣼 X-㻠 㹴協

Reference

1.Amstrong G. W. D.., Jonston D. H.Stabilisci ion of spinal injuries using Herrington instrumentation (proceeding). J.B.J.S. 56-B:590. 1974.

2.Crenshaw A. H.Campbell's operative orthopedics. 5th edition. 1971.

3.Harrington P. R.Treatment of scoliosis-correcton cud internal fixation by spine instrumentation,. J. B. J. S. 44-A:591–610. 1962.

4.Holdsworth F. W.., Hardy A.Early treatment of paraplegia from fractures of the thoracolumbar spine. J. B. J. S. 35-B:540–550. 1953.

5.Holdsworth F. W.Fracture, dislocation and fracture-dislocation of the spine. J. B. J. S. 45-B:6–20. 1963.

6.Käufer H.., Hayes J. J.Lumber fracture- dislocation. J. B. J. S. 48-A:712–730. 1966.

7.Kilfoyle R. M.., Foley J. J.., Norton P. L.Spine and pelvic deformity in childhood and adolescent paraplegia-A study of 104 cases. J. B.J.S. 47-A:659–682. 1965.

8.Lewis J.., Mckibbin B.The treatment of unstable fracture-dislocations of the thoracolumbar spine accompanied by paraplegia. J. J. B. J. S. 56-B:603–612. 1974.

9.Nicoll E. A.Fractures of the dorsolumber spine.,. J. B. J. S. 31-B:376–394. 1949.

10.Rogers W. A.Fractures and dislocations of the cervical spine. J. B. J. S. 39-A:341–376. 1957.

11.Wilson P. D.., Straub L. R.Lumbosacral fusion with metallic fixation. A. A. O. S. Instructional Course Lectures. Vol. XI:53–57. 1952.