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We report on a modified dorso-ventral operation method for the treatment of unstable vertebral lesions in parapletic patients. We see the indication for ca. 10% of the paraplegics with unstable vertebral fractures and incomplete neurological pareses with a real of expected worsening of the neurological status. A real stabilisation can only be reached by combined dorsal and ventral fusioning, which only rectify the operative risks. The geometrical arguments for this method are presented.
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