Article: PDF OnlyJunctional Burst FracturesStarr, John K., MD and*; Hanley, Edward N. Jr., MD†Author Information Departments of Orthopaedic Surgery* University of Pittsburgh Charlotte, North Carolina. †Carolinas Medical Center, Charlotte, North Carolina. Spine: May 1992 - Volume 17 - Issue 5 - p 551–557 Buy Abstract Twenty-two patients with burst fractures in this mechanically and neurologically distinct region (T11-L2) were studies at injury and after scute surgical reduction and stabilization (antikyphosis and ligamentotaxis concept). Canal compromise averaged 42% (10–82%) before surgery, and at follow-up 14% (0–46%), segmental kyphosis 15° (4°-27°) and 3° (0°-15°), and vertebral segment height 62% (41–85%) and 86% (60–100%), respectively. Incomplete patiens gained an average of 1.8 Frankel subgrades. The described treatment can predictably recanalize the spine, correct deformity, and stabilize Neurologic compromise. A significant correlation between postoperative naurologic status and the radiographic critieria under study could not be established. © Lippincott-Raven Publishers.