In Vitro Analysis of Anterior and Posterior Fixation in an Experimental Unstable Burst Fracture Model

Circumferential instrumentation provided the most rigid fixation, followed by posterior fixation with anterior strut grafting, posterior fixation alone, and by anterior fixation with strut grafting. These results were dependent on bone quality and the comminution severity of the fracture. These results should aid surgical decision making in addition to other factors in the overall clinical situation.