Lateral position one-stage combined anteroposterior approach versus posterior approach with subtotal corpectomy, decompression, and reconstruction of spine in the treatment of thoracolumbar burst fractures

• Published in: Zhong hua yi xue za zhi Vol. 93; no. 27; p. 2112
• Main Authors: Ma, Yi, Deng, Shu-cai, Jia, Zhan-hua, Hao, Yong-hong
• Format: Journal Article
• Language: Chinese
• Published: China 16.07.2013
• Subjects: Adult; Decompression, Surgical; Female; Fracture Fixation, Internal; Humans; Lumbar Vertebrae - injuries; Lumbar Vertebrae - surgery; Male; Middle Aged; Retrospective Studies; Spinal Fractures - surgery; Spinal Fusion - methods; Thoracic Vertebrae - injuries; Thoracic Vertebrae - surgery; Treatment Outcome
• ISSN: 0376-2491
• DOI: 10.3760/cma.j.issn.0376-2491.2013.27.006

To compare the medium and long-term outcomes of lateral position one-stage plus anteroposterior versus posterior approach with subtotal corpectomy, decompression, and reconstruction of spine in the treatment of thoracolumbar burst fractures. A total of 47 patients with thoracolumbar burst fractures were divided into 2 groups according to surgical approaches. Group A underwent lateral position one-stage plus anteroposterior approach while group B had posterior approach with subtotal corpectomy, decompression and reconstruction of spine. During a follow-up period of 36-68 months, their clinical and radiological outcomes were retrospectively evaluated. The perioperative volume of blood loss, operative duration, complications, pulmonary functions, Frankel scale and American Spinal Injury Association (ASIA) motor scores were recorded and analyzed. And the heights of anterior edge of vertebral body and Cobb angle were examined for radiological outcomes. At the latest follow-up, all patients achieved solid fusion wi