%0 Journal Article
%T Anterolateral Approach for Unstable Lumbar Burst Fracture with Anterior Compression
%A Wael A. Hammad
%A Mohamed A. Barania
%A Islam M. Alaghory
%A Ahmed M. El Sherif
%J Open Journal of Modern Neurosurgery
%P 201-214
%@ 2163-0585
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojmn.2018.82017
%X <p style=\"text-align:justify;\">
	<b><span style=\"font-family:Verdana;\">Background</span></b><span style=\"font-family:Verdana;\">: Lumbar burst fractures are common spinal injuries that cause severe
instability with kyphotic deformities and neurological complications requiring surgical
decompression and reconstruction with spinal instrumentation for unstable burst
fracture, but there is controversy about the optimal surgical approach anterior,</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">posterior or combined
approach. </span><b><span style=\"font-family:Verdana;\">Objectives</span></b><span style=\"font-family:Verdana;\">: To assess the efficacy &amp;</span></span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">safety of anterolateral approach
in decompression and reconstruction with spinal instrumentation for lumbar
burst fractures. </span><b><span style=\"font-family:Verdana;\">Subjects &amp;</span></b></span><b><span style=\"font-family:;\" \"=\"\"> </span></b><b><span style=\"font-family:Verdana;\">Method</span></b><span style=\"font-family:Verdana;\">s:</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">A
retrospective study including 16 patients</span><span style=\"font-family:Verdana;\">,</span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\"> 10 males and 6 females with lumbar burst fractures
and anterior compression treated operatively by anterolateral approach for
corpectomy and single level fusion by using expandable cage or mesh cage loaded
with bone graft and plat with screws. The clinical and radiological follow up
after discharge from the hospital ranged from 12 to 24 months. </span><b><span style=\"font-family:Verdana;\">Results</span></b><span style=\"font-family:Verdana;\">:
All patients improved regarding the Frankel score more than one grade after
surgery, except 2 cases of grade A didn¡¯t improve.</span></span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">Mean preoperative visual analogue scale was 7.4
improving to 0.9 postoperatively.</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">The mean Local kyphosis improved from 8.8<span style=\"font-size:10.0pt;font-family:;\" \"=\"\">¡ã</span> before surgery to </span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">-</span><span><span style=\"font-family:Verdana;\">1¡ã
%K Burst Fracture
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=83712