Background: Lumbar burst fractures are common spinal injuries that cause\nsevere instability with kyphotic deformities and neurological complications\nrequiring surgical decompression and reconstruction with spinal instrumentation\nfor unstable burst fracture, but there is controversy about the optimal\nsurgical approach anterior, posterior or combined approach. Objectives: To\nassess the efficacy & safety of anterolateral approach in decompression and\nreconstruction with spinal instrumentation for lumbar burst fractures. Subjects\n& Methods: A retrospective study including 16 patients, 10 males and 6\nfemales with lumbar burst fractures and anterior compression treated operatively\nby anterolateral approach for corpectomy and single level fusion by using\nexpandable cage or mesh cage loaded with bone graft and plat with screws.\nThe clinical and radiological follow up after discharge from the hospital\nranged from 12 to 24 months. Results: All patients improved regarding the\nFrankel score more than one grade after surgery, except 2 cases of grade A\ndidnââ?¬â?¢t improve. Mean preoperative visual analogue scale was 7.4 improving to\n0.9 postoperatively. The mean Local kyphosis improved from 8.8Ã?Å¡ before surgery\nto âË?â??1Ã?Å¡ after surgery. Conclusions: Anterolateral approach is feasible, effective,\nand safe approach for unstable lumbar burst fractures. Angular deformity\nis successfully corrected when the anterior approach is used.
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