Abstract
Low lumbar fractures are relatively rare and no fixed treatment for them has been reported in the literature. Seven patients with low lumbar fractures (L3-L5) were treated surgically at Kawasaki Medical School Hospital discussed in this report. Follow-up ranged from 5 months to 122 months with an average of 62.3 months. Surgically, the anterior approach was employed in two cases, a transpedicular approach was used with achievement of good results and complete improvement of symptoms. Our results suggest that short rigid instrumentation is useful in accomplishing shorter fusion and restoring lumbar lordosis, which prevent persistent complaints of back pain.