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Despite excellent long-term outcomes, posterior stabilisation by a third condyle continues to receive unwarranted criticism regarding patellar complications and instability.
Posterior stabilisation is widely used, technically easy, and associated with lower access morbidity [ 11].
In a prospective randomised study, Korovessis et al. [ 16] compared (RCT) patients with burst fractures (L2 L4) treated by posterior stabilisation alone or combined posterior-anterior stabilisation.
The ROM for the intact specimen, after cage insertion and after additional posterior stabilisation were recorded from the load-deformation curves (Fig 7).
The difference in ROM in the individual cage group between intact specimen, after cage insertion and after additional posterior stabilisation were analysed with the related sample Wilcoxon test.
It has also been suggested as an adjunct to conventional posterior stabilisation, as it can minimise spinal levels requiring fusion [ 24].
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Remarkably, Korovessis et al. [ 16] did not recommend the use of posterior alone stabilisation because this stabilisation technique was not able to maintain the restoration of sagittal alignment.
Rotation-translation injuries may disrupt both anterior and posterior stabilising ligaments often requiring circumferential stabilisation.
Posterior percutaneous stabilisation can be used either as a stand-alone procedure or as an adjunct to minimally invasive anterior decompression [ 25].
Anterior, posterior or circumferential stabilisation decision is based on the two essential principles in spine surgery, namely the "tension band principle" and the "load-sharing principle".
Numerous surgical techniques have been advocated, including instrumented and non-instrumented stabilisation through anterior, posterior or combined approach [ 57].
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