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Posterior Thoracic Implants

Handbook of Orthopaedic Trauma Implantology

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Abstract

Posterior instrument systems are widely used in fixation of thoracic and thoracolumbar spinal fractures. Some of them have stood the test of time and still in vogue. Others are being modified and modernized to face newer challenges. Thoracic spine has anatomical properties like narrow spinal canal and a close proximity to surrounding vital structures. Implants are designed according to safety and necessity of the thoracic spine. Journey of modern spinal system was started with hook- and rod-based system of Harrington followed by Luque rod and sublaminar wire, Drummond wire, Hartshill rectangle with sublaminar wire. Then the hybrid system of Cotrel and Dubousset brought new dimension of posterior fixation especially in deformity correction. Raymond Roy-Camille of France introduced modern pedicle screws. Pedicle screw-based systems are of two types – plate-based system like Steffee and rod-based systems like Moss Miami, USS, Expedium, CD Horizon, etc. Recent developments include minimal invasive pedicle screw systems, fenestrated pedicle screws, expandable pedicle screws, and pedicle hook fixed to the bone with a central screw. Titanium mesh cage, expandable cages, and PEEK cages are used through posterior approach to support or replace anterior column of thoracic spine.

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Authors and Affiliations

  1. AMRI Hospital, Kolkata, India

    Chinmay Nath

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  1. Chinmay Nath
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  1. Narayana Health, West Bengal, India

    Arindam Banerjee

  2. Klinik u. Poliklinik für Unfallchirurgie, TU München Klinikum rechts der Isar, München, Bayern, Germany

    Peter Biberthaler

  3. Department of Orthopedics, Apollo Hospital Muscat, Muscat, Oman

    Saseendar Shanmugasundaram

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  1. AMRI Hospital, Kolkata, West Bengal, India

    Chinmay Nath

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Nath, C. (2022). Posterior Thoracic Implants. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-15-6278-5_108-1

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  • DOI: https://doi.org/10.1007/978-981-15-6278-5_108-1

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  1. Latest

    Posterior Thoracic Spinal Implants
    Published:
    19 July 2023

    DOI: https://doi.org/10.1007/978-981-15-6278-5_108-2

  2. Original

    Posterior Thoracic Implants
    Published:
    26 October 2022

    DOI: https://doi.org/10.1007/978-981-15-6278-5_108-1

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