Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome

Background Data: The primary indications for anterior approach in vertebral surgery include the conditions associated with the destruction of one or more vertebral bodies and intervertebral discs, vertebral fractures, and deformities. Purpose: To evaluate the clinical and radiological outcome of th...

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Autores principales:	Alaa Farag, Moataz Elawady
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	Thoracolumbar anterolateral approach Z-plate Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/e9db848ad62c4282a710f6d1a5491f38
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spelling	oai:doaj.org-article:e9db848ad62c4282a710f6d1a5491f382021-12-02T03:49:28ZAnterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological OutcomeDOI:10.21608/ESJ.2012.38022314-89502314-8969https://doaj.org/article/e9db848ad62c4282a710f6d1a5491f382012-10-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3802.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: The primary indications for anterior approach in vertebral surgery include the conditions associated with the destruction of one or more vertebral bodies and intervertebral discs, vertebral fractures, and deformities. Purpose: To evaluate the clinical and radiological outcome of the anterior surgical approach in the management of lesions of the thoracolumbar area. Study Design: A retrospective clinical case study and a literature review. Patients and Methods: Between January 2007 and January 2011 a total of 15 patients admitted and surgically treated for thoracolumbar spine lesion. All patients underwent anterior thoracolumbar fixation surgery. Data were analyzed retrospectively. The outcome was evaluated with (ASIA) scale after three months, six months and one year following surgery. Plain x-Ray both anteroposterior and lateral views and 3D Computed Tomography were done postoperatively. Results: Fifteen patients, 10 males and 5 females with ages ranging from 17 to 70 years were included in this study. They were operated upon for traumatic fracture in 10 patients and TB spondylodiscitis in 5 patients in the thoracolumbar area. The average operative time was 4 hours. The average postoperative hospitalization was 14.5 days. According to ASIA; patients grade A (N=5), and E (N=2) remained the same post-operatively, whereas, of the other patients with incomplete cord lesion (N=8), six improved one grade and two did not improve. The preoperative segmental kyphosis improved postoperatively at the three-month visit from a mean of 26.2o to a mean of 11o. Conclusion: Anterolateral approach can be an effective means of treating thoracolumbar spine lesions. It allows better safe decompression of neural structures. The titanium cage and Z-Plate system provide efficient stability and allows for early mobilization. (2012ESJ030) Alaa Farag Moataz ElawadyEgyptian Spine AssociationarticleThoracolumbaranterolateral approachZ-plateNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 4, Iss 1, Pp 41-48 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Thoracolumbar anterolateral approach Z-plate Neurology. Diseases of the nervous system RC346-429
spellingShingle	Thoracolumbar anterolateral approach Z-plate Neurology. Diseases of the nervous system RC346-429 Alaa Farag Moataz Elawady Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome
description	Background Data: The primary indications for anterior approach in vertebral surgery include the conditions associated with the destruction of one or more vertebral bodies and intervertebral discs, vertebral fractures, and deformities. Purpose: To evaluate the clinical and radiological outcome of the anterior surgical approach in the management of lesions of the thoracolumbar area. Study Design: A retrospective clinical case study and a literature review. Patients and Methods: Between January 2007 and January 2011 a total of 15 patients admitted and surgically treated for thoracolumbar spine lesion. All patients underwent anterior thoracolumbar fixation surgery. Data were analyzed retrospectively. The outcome was evaluated with (ASIA) scale after three months, six months and one year following surgery. Plain x-Ray both anteroposterior and lateral views and 3D Computed Tomography were done postoperatively. Results: Fifteen patients, 10 males and 5 females with ages ranging from 17 to 70 years were included in this study. They were operated upon for traumatic fracture in 10 patients and TB spondylodiscitis in 5 patients in the thoracolumbar area. The average operative time was 4 hours. The average postoperative hospitalization was 14.5 days. According to ASIA; patients grade A (N=5), and E (N=2) remained the same post-operatively, whereas, of the other patients with incomplete cord lesion (N=8), six improved one grade and two did not improve. The preoperative segmental kyphosis improved postoperatively at the three-month visit from a mean of 26.2o to a mean of 11o. Conclusion: Anterolateral approach can be an effective means of treating thoracolumbar spine lesions. It allows better safe decompression of neural structures. The titanium cage and Z-Plate system provide efficient stability and allows for early mobilization. (2012ESJ030)
format	article
author	Alaa Farag Moataz Elawady
author_facet	Alaa Farag Moataz Elawady
author_sort	Alaa Farag
title	Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome
title_short	Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome
title_full	Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome
title_fullStr	Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome
title_full_unstemmed	Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome
title_sort	anterior approach for lesions in the thoracolumbar area: evaluation of the clinical and radiological outcome
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/e9db848ad62c4282a710f6d1a5491f38
work_keys_str_mv	AT alaafarag anteriorapproachforlesionsinthethoracolumbarareaevaluationoftheclinicalandradiologicaloutcome AT moatazelawady anteriorapproachforlesionsinthethoracolumbarareaevaluationoftheclinicalandradiologicaloutcome
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Anterior Approach for Lesions in the Thoracolumbar Area: Evaluation of the Clinical and Radiological Outcome

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